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I did an ultrasound scan on my liver and found two lesions (about 1+ cm each). My doctor said the scan is inconclusive and suggested I do a CT scan, which I've agreed. I'm waiting for my appointment date but I'm worried.

The reason I did the ultra sound is my ALT and AST are high. ALT = 104. AST = 45. My ALT has been high for 5 years, started from a reading of 65 5 years ago to 104 recently.

Can someone advise on what really does a lesion mean? My doctor said I have a fatty liver. The lesion could be nothing more than a patch on my liver without fat or the worst case can be tumor. This freaks me out. Appreciate any further help on this.
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replied April 29th, 2011
Hello and welcome to e health forum.

Lesions described on a liver ultrasound could be solid tumors (adenomas), Cystic lesions (which are usually benign), Hemangiomas (growth anomalies of blood vessels), metastatic tumors , infective lesions, calcified lesions, etc.

The exact diagnosis can be made by a CT scan and if needed a excision biopsy of the concerned lesion.

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replied March 4th, 2014
I followed up on my condition posted here 3 years ago. I went to a liver specialist. Did CT scan on the two lesions that were seen on ultrasound. The diagnosis was that they are most likely hemangioma. My doctor said that's benign. He suggested another ultra sound, one year later just to re-confirm. If the size of the lesions stay stable, we'll just leave them alone.

One year later, I went for the ultrasound. Good new si the 2 lesion haven't grown but they found a 3rd one. Small but visible. Given the fact that the first two were hemangioma and haven't grown, and all other indicators were good - alpha-fetoprotein marker negative, ALT/AST down significantly from before and I've never had hepatitis, the logical conclusion is the 3rd one is likely a hemangioma too.

My doctor's recommendation is to do another ultrasound scan a year later. I did that recently. Again, everything is good. The existing 3 lesion hasn't grown in size. BUT again, they found a new one - a 4th one on ultrasound. I was hoping that this would be the last scan but given this new finding, my doctor again said, there is nothing to worry. Most likely it's benign, but given it's a new finding, we need to follow up again later in the year.

He told me the only way to be 100% sure is to have a biopsy but that's invasive. He suggest against it as my condition doesn't warrant the risk.

I'm wondering is whether my situation is normal? Is this due to the inaccuracy of the ultrasound machine or the person taking the measurement? How can they keep finding new lesion they didn't see before but don't seem to be an imminent danger?

Appreciate any advice.
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