Multiple Liver SOL

A male aged 65 years Chief Complaints Pain Abdomen Jaundice Wt loss (approx 10kg in 2 months) Physical Examination P/A - Hepatomegaly Investigations CECT W/A

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Multiple hypodence opacity in liver parenvhyma. D/d-1- multiple liver abcess. 2-hydatid cysts. 3-secondaries of liver looking to age and wt loss. History and clinical examination is most important. to clinch dx. Primary site of malignant lesion sorted out if lesion is malignant..

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Multiple hypodense lesions in liver, highly suggestive of multiple liver metastasis Adv PET CT scan to look for primary CT guided biopsy once confirmed palliative care

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CECT reports suggestive of multiple cysts in liver. May be due benign or malignant cysts. Benign causes A multiple amaebic liver cysts B. Polycystic disease of liver C hydatid cyst multiple liver abscess Malignant Cystadenoma, Adenosarcoma. Hepato cellular carcinoma and secondaries of liver But presence of jaundice may be due hepatic or extrahepatic causes. Intrahepatic when the cyst burst causes oedema causing pressure on the intrahepatic biliary system causes jaundice. Extra hepatic due presence of multiple cyst the size of the liver enlarges causes pressure on the CBD causing narrowing of the CBD causing obstruction of bile flow causing jaundice.

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This appears to be a c/o multiple metastasis in liver We must evaluate to see primary Adv liver biopsy

Thanx dr Pushkar ji Bhomia
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Multiple cystic lesions seen, neoplastic etiology.

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NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. PET SCAN .. HPE..STUDY .. EXPERTS OPINION ..

Tnx Dr Shivraj Agarwal sir
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Sol in liver Jaundice Ct3 liver Lft

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Multiple hypodense cavitatory lesions.. Primarily rule out malignancy (secondary).. Secondary causes hydatid cyst,liver abcess

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Only juice diet... beetroot sweet potato coriander juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverage s.... papaya seeds...under strict supervision of Doctor.. cold pressed coconut oil massage and in naval lime juice

Metastasis

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