I was recently in the ER for a bad infection, concerned about atrophic liver?
Hello. I am a 25 year old male and was recently in the ER for a bad infection. I had a CT scan with contrast and the ER doctor said I should follow up with my primary care because of the result but didnt explain it. What does it mean? I was concerned to see atrophic liver, but wasn’t sure if this is something serious. Here is the result:
“The left lobe of the liver is atrophic. No suspicious liver lesion identified. The gallbladder, biliary tree, pancreas, spleen, and adrenal glands are normal. Kidneys are normal. The abdominal aorta, IVC, and mesenteric vasculature appear normal. The bowel is patulous and fluid-filled throughout the small bowel without obstruction. Surgical clip is seen in the right lower quadrant likely from prior appendectomy. Mild increase and stool right colon with normal caliber left colon. The bladder appears normal. Prostate mildlypr ominent. Minimal fat within the inguinal canals without sniffing hernia. No free fluid or pneumoperitoneum. No pathologic adenopathy.
1. Minimal prominence of fluid-filled small bowel without evidence of obstruction. This could represent a mild enteritis or small bowel ileus.
2. Atrophic, somewhat lobular left lobe of liver.
3. Mildly prominent prostate
The liver atrophy, well, it’s obvious that the left is okay, but we need to do liver function test, kidney function tests and CBC
I would like also to take stimulant laxatives for now
I think your doctor means that you may have bacterial infection in your intestine,
I recommend a stool culture to identify it
Lobar or segmental atrophy of the liver have been considered as a complication of different benign and malignant disease of the liver and of the bile ducts, and defined as complete or partial, based on the extension and histological appearance … So I recommend doing full liver functions tests
there may be inflammation or underlying disturbed liver functions.
a detailed liver function test profile with CT /USG guided liver biopsy willl be helpful.
avoid high protein,fat diet.
Consume more of carbohydrate diet
The finding of atrophic left lobe of liver can be due to causes like hepatic and biliary infections and diseases,cirrhosis of liver etc..
Other findings of the scan are normal.
So first of all get a detailed investigation of liver function tests done and if needed a liver biopsy can also be advised [only if needed].
So as of now do not worry get LFT done first of all..
Hope this helps..