I recently has an ultrasound and was found to have 2 cysts and 2 nodules on my liver. The cysts measure 7mm and 19x17mm and nodules 21mm and 10mm. They have recommended for a ct scan for characterisation of the nodules. My liver enzymes are as follows: alt 23, ast 17, albumin 39, alkaline phosphate 57, amylase 95, bilirubin 11, chloride 105, creatinine 65, ggt 105, globulin plasma 40, glucose 5.21, lipase 29, potassium 4.2, sodium 138, urea 3.1 and full blood count as follows:- haemoglobin, 132, mean cell volume 87, neutrophils 3.7, platelets 377 and wbc 6.9. What could this ct reveal. So worried. Hope you can help. Thank you in anticipation.
Cysts in the liver are a common problem and most of them are non-parasitic cysts and are called simple cysts. There are other types of cysts like multiple simple cysts, parasitic cysts, cystic tumors and abscesses.
Investigations like a CT and MRI are required for characterization and localization such as cysts of the bile ducts and polycystic liver disease.
Most of the cysts don't cause symptoms. Only about 15% of cysts are symptomatic and come to the attention of patients. Simple cysts are small and are present from birth. Polycystic liver disease rarely causes liver failure. Parasitic cysts such as hydatid cysts are caused by infestation with the echinococcus parasite, which is a dog tape worm. Liver abscesses are found in amoebiasis.
Most of small simple cysts do not require treatment apart from monitoring, symptomatic multiple cysts may require surgical treatment. Similarly polycystic disease, parasitic cysts and neoplastic cysts require treatment.
Your liver function tests reveal abnormal values in bilirubin, albumin etc. A CT scan usually helps in correct diagnosis of the cyst and helps in management. It would be preferable to see a helpatologist/gastroenterlogist for the complete examination and interpretation of results in conjunction with clinical findings and advice on the management. Thank you.
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