'Doctor, what's wrong with me on this report?' 'Do not worry, just check it again.' 'There are often such conversations in the ultrasound department that the examinee often has a look of panic. What are the common abnormalities in ultrasound? What to do if you encounter abnormal results?
1. Fatty liver Ultrasound census is the most common abnormalities of varying degrees and types of fatty liver, the cause can be broadly divided into alcoholic and non-alcoholic. Common clinical mixed fatty liver, that both fat and excessive alcohol consumption of the two The main reason for such people should limit the weight loss of alcohol.Diabetes, hyperlipidemia and other patients are also common in patients with fatty liver.Healthful and severe fatty liver should be promptly to the Department of Gastroenterology, receiving medical treatment.
2. Liver Tumors. Liver solid nodules are divided into two major categories of neoplastic and non-neoplastic. The former is the most common benign liver tumors - hepatic hemangioma, usually single, rare, visible to any age, adult women Slightly more, usually asymptomatic, and small liver cancer nodules to be differentiated .First found in atypical nodules, it is recommended to do enhanced CT or MRI scan, laboratory related tumor markers. Hepatitis B or hepatitis C virus carriers, chronic hepatitis Or history of liver cirrhosis, newly discovered solid nodules should be highly vigilant liver cancer .Other non-tumorous nodules are also common in non-uniform fatty liver formed by the 'low fat zone'.
3. Liver and kidney cysts, including single and multiple, benign lesions, the incidence increases with age, the general slow growth, long duration, little harm. Asymptomatic ultrasound follow-up visits each year, accompanied by symptoms and a single Cysts greater than 5 cm in diameter can be diagnosed with surgery. Another relatively rare renal parenchymal nodules, mostly benign renal hamartoma should be different from the early small renal cell carcinoma nodules. CT scan to rule out kidney cancer possible.
4. Gallbladder and kidney stones. About 20% to 40% of patients with gallbladder stones can be asymptomatic life-long, other patients with indigestion and other symptoms, or show acute and chronic cholecystitis and biliary colic symptoms. Kidney stones usually no significant Symptoms, when the stones down and incarcerated in the ureter, can lead to renal colic and hematuria.Asymptomatic patients have a certain clinical risk, to the surgical assessment of diagnosis and treatment.
5. Gallbladder polypoid lesions. Usually more than asymptomatic, nodules were single or multiple, can slowly grow for many years, most of the benign. A small number of small nodules for the early gallbladder tumor.It is reported in the literature, gallbladder wall uplift lesions, Non-neoplastic lesions accounted for 73.1%, benign tumors accounted for 21.7%, malignant tumors accounted for 5.2% .Seeing for the 'gallbladder polypoid lesions' can not be paralyzed, it is recommended to review ultrasound every six months or a year, a single nodule diameter greater than 1 cm Timely surgical treatment.
6. Splenomegaly. Unless combined with cirrhosis, echocardiography of the etiology of the general help is not much. Need to be combined by medical physicians history and other test results to diagnose.
7. Prostatic hyperplasia. More serious cases can be combined with solid nodules, in line with the performance of benign prostatic hyperplasia; also found occasional bladder stones and bladder wall solid nodules, are required to diagnosis and treatment of urology. Other prostatic intractable multiple small stones Or calcification, the general clinical significance, regular ultrasound review.
