Normal appearance of gallbladder. No shadowing gallstones. Common bile duct is not abnormally dilated. Normal liver echotexture. Multiple variably sized hepatic cysts several of which are septated largest measuring up to 2.4 cm. Within the lateral segment left hepatic lobe, hypoechoic nodule measuring up to 1.7 cm. Indeterminate. Segmentally visualized abdominal aorta, inferior vena cava and pancreas appear unremarkable with pancreatic tail obscured by artifact.
我比较担心这个“Hypoechoic nodular finding lateral segment left hepatic lobe. Does not reflect a cyst by strict ultrasound criteria. Indeterminate.” 建议是做CT进一步检查。 医生还没联系我， 估计都在过节了。
if you don;t have liver cirrhosis, low risk to have liver cancer
the lesion more likey angioma. which is a benign lesion from the vessels.
don't worry too much, you will be fine.
you don't have diabetes , should eat mormally, your cholesterol high, but HDL also high, should be fine, if you want, can try fish oil to lower your cholesterol
就说要做Hepatitis B 检测,不要做biopsy.做好MRI后,建议再找肝专科医生看.没乙肝可排除cancer.
"What is included in a hepatitis B panel? A Hepatitis B (HBV) Blood Test Panel includes a Hepatitis B Core Antibody Total (Test #006718), Hepatitis B Surface Antigen (Test #006510), Hepatitis B Surface Antibody (Test #006395). Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection. Test Results: 2-3 days."
求教: 我 （女， 40+， 瘦子一枚）一个月前觉得嘴里发甜， 买了CareTouch试纸在家测血糖， 结果发现空腹血糖106， 吃个苹果或一些葡萄饭后一小时血糖可达180. 于是开始控糖，学习本坛经验贴， 不吃白米面，甜食， 168轻断食， 加一天2小时快走慢跑， 结果体重下降太快（一个月丢了14lb， 现在身高168， 体重119lb), 血糖控制效果有限， 头天晚上吃少一点, 空腹血糖可降到90下， 否则在100左右徘徊， 不吃水果， 一小时餐后血糖可控制在140内，一吃水果， 就飙升。 嘴里不发甜了，但饭后右上腹肝区会隐痛， 身体发热，嘴里发苦， 有时有辣的感觉，锻炼后缓解； 早起空腹时， 肝区和 嘴里感觉正常。但舌胖大，暗淡， 有齿痕， 同时舌布满白苔后黄腻。
一星期前， 去看医生， 医生检查肝区， 无痛感或肿块，让查血和B超；
空腹查血结果：不正常的指标有
Sodium 145 （正常134-144）； Cholesterol, Total 228； Triglycerides 56 （正常）； HDL Cholesterol 84 （正常）； LDL Chol Calc (NIH) 134； VLDL Cholesterol Cal 10；
Glucose 90； Hemoglobin A1c 4.9 （好像血糖挺正常的， 是试纸有问题？）
B超结果发现：
Normal appearance of gallbladder. No shadowing gallstones. Common
bile duct is not abnormally dilated. Normal liver echotexture. Multiple
variably sized hepatic cysts several of which are septated largest measuring
up to 2.4 cm. Within the lateral segment left hepatic lobe, hypoechoic nodule
measuring up to 1.7 cm. Indeterminate. Segmentally visualized abdominal aorta,
inferior vena cava and pancreas appear unremarkable with pancreatic tail
obscured by artifact.
我比较担心这个“Hypoechoic nodular finding lateral segment left hepatic lobe. Does not
reflect a cyst by strict ultrasound criteria. Indeterminate.” 建议是做CT进一步检查。 医生还没联系我， 估计都在过节了。
请教各位达人：
1） 我这血糖到底是高还是不高？是糖前期，胰岛素抵抗， 需要控糖吗？
2）我已经瘦的像麻秆了， 胆固醇又高， 那到底吃什么呢？
3）这肝上的问题， hypoechoic nodule，会是肝癌吗？我没有乙肝史，也不喝酒， 但好像2年前， 在国内B超， 说我的肝有损伤。本来以为就是胆结石或胆囊炎， 症状也像。
先谢谢所有的建议， 祝各位节日健康快乐， 酒且从容， 歌且从容 ：-）
the lesion more likey angioma. which is a benign lesion from the vessels.
don't worry too much, you will be fine.
you don't have diabetes , should eat mormally, your cholesterol high, but HDL also high, should be fine, if you want, can try fish oil to lower your cholesterol
How long have you been having this sympom?
right upper quadrant has liver and gallbladder, but stomach problme also can extend to the area.
if only discomfort, can do an ultrasound to check the liver and gallbladder, if normal, may be from the stomach.
sometimes constipation also can cause some discomfort on the right middle or lower quadrant.
几个月前吃很油的鸡汤， 肝区也有不适感， 但不吃， 就好了。
现在， 每天吃饭后， 就有不适
A1c 4.9 是美国单位,那很正常啊,没有糖尿病,按身高体重不算超标.
保险起见要求医生查血:1.全套肝功能2.AFP(甲胎蛋白)3.乙肝2对半4.HBVDNA(再排除没乙肝).
5.做核磁加强(改CT为MRI with contrast).
不要吃深海鱼油.
https://zhuanlan.zhihu.com/p/336055617
肝腺瘤也是一种比较少见的良性肿瘤,多见于女性,有研究表明跟口服避孕药有一定关系.在彩超上也是表现为低回声.
查一下懒风网友的blog，会有方法解决你的肝和血糖问题。
说过好几次了,会引起肝功能指标高.
https://bbs.wenxuecity.com/health/967696.html
http://news.bioon.com/article/6720394.html
https://blog.wenxuecity.com/myoverview/14603/
就说要做Hepatitis B 检测,不要做biopsy.做好MRI后,建议再找肝专科医生看.没乙肝可排除cancer.
"What is included in a hepatitis B panel?
A Hepatitis B (HBV) Blood Test Panel includes a Hepatitis B Core Antibody Total (Test #006718), Hepatitis B Surface Antigen (Test #006510), Hepatitis B Surface Antibody (Test #006395). Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection. Test Results: 2-3 days."
体重下降,查血时可要求查甲状腺指标.
近期应该多关注肝问题,早点做肝血检和核磁.如以往病史显示不是乙肝/丙肝携带者,医生不会着急B超报告.
"Hypoechoic nodular finding lateral segment left hepatic lobe. Does not
reflect a cyst by strict ultrasound criteria. Indeterminate.” 一般肝血管瘤是高回声.
保险起见病人有必要自己再确认不是乙肝,丙肝携带者,以排除cancer.除非近几年做过乙肝排除.
甲肝,乙肝都有疫苗,排除乙肝后应该打疫苗保护自己.
要保肝，饮食上可能得少脂，高蛋白，多蔬菜，特别是绿叶菜等。
肝脏不好的人脸色青黑或发黄，可能蔬果汁会帮助，试试喜鹊的蔬果汁的方法。
蔬果汁还就是胡萝卜，芹菜，红包菜，西红柿，加各种莓，葡萄柚和木瓜
另外，我也不吃奶制品了，看了您的帖子后，还每晚刮肝经，尽量不吃牛肉
我的问题是有时好生气，对老公孩子咆哮