昨天於某醫院做肝超音波報告如下:
F19009C Clinical Diagnosis : Abnormal liver function Sonographic Findings Liver : Parenchyma :
Marked increased brightness, blurred intrahepatic vessels and gallbladder, far attenuation.
Portal vein :Patent Lesion :
Few irregular hypoechoic lesions without clear margin at S4- 5, max 38.1 mm.(問題1)
Biliary system :
Gallbladder : Negative IHD : Negative CBD : Negative Pancreas : Negative at part of body,other are blocked by bowel gas Spleen : Negative Kidney : No hydronephrosis Others : 1.No ascites. 2.Abdominal aorta, inferior vena cava, and lymph node: Partial obscured by bowel gas,otherwise grossly normal.
Diagnosis : Fatty Liver, Moderate Hepatic hypoechoic lesions,favor fat focal sparing.(問題2)
Comment : Regular sonography follow up Reported By : OOO 醫師
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(問題1)
在肝臟S4-5 葉片中有少量不規則低迴聲病灶，邊緣不清晰，最大 38.1 mm。想請問低迴聲有可能要進一步檢查或進行什麼治療嗎?
(問題2)
1.這裡提到有脂肪肝，但輕中重沒標明，如果沒標是指中度脂肪肝嗎?
2. favor fat focal sparing 是指什麼?
最後有必要提早回診或進一步檢查嗎?
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