Accessed April 12, 2021. Your doctor will explain your results and what they mean. Low attenuation lesion in liver measuring more than .5 mm. American journal of roentgenology. Levels that are higher or lower than normal can indicate liver problems. Liver cancers always need treatment. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8340. But you can lower your liver cancer risk by: The outlook is often good. Normal results vary from laboratory to laboratory and might be slightly different for women and children. Some of the best foods and drinks that are good for the liver include the following. We use cookies to ensure that we give you the best experience on our website. 2000;174 (5): 1417-21. Repeated exposure or improper handling of such toxic agents can cause severe liver damage in the long run. Scar tissue begins to replace healthy tissue in the inflamed liver. If you are at risk or experiencing symptoms, talk to your healthcare provider. I am also wondering if you can have decreased attenuation and not have fatty infiltration. The decreased attenuation is just medical terms for an area of your liver is not as "bright" on the study compared to other areas. Check for errors and try again. Its upper surface is slightly convex and is moulded on to the diaphragm; its under surface presents the gastric impression and omental tuberosity. My doctor said that where I don't have an alcohol problem or high cholestorol that the decreased attenuation was of no concern. Liver attenuation index (LAI) was derived and defined as the difference between mean hepatic and mean splenic attenuation. And among people who have cirrhosis, those who drink more coffee are less likely to die from the disease. Blood is ALKP 90 ALT 45 AST 28 CRP 1.7. The value of attenuation in normal liver was estimated as 0.52 +/- 0.03 dB/cm/MHz, measured at 3 MHz. Liver lesions are groups of abnormal cells in your liver. (14.1 cm) The study represents one of the largest populations studied regarding average liver length, and it concluded that the . Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Fortunately, most liver lesions are benign (noncancerous) and do not cause any major threat. The results of the present study showed that the egg consumption increases the risk of NAFLD in common range of its consumption (two tothree eggs per week). privacy practices. Abdominal pain or a feeling of fullness in the upper right side of the abdomen (belly). attenuation/signal of liver shifted towards that of fat focal fatty sparing islands of normal liver tissue within a sea of hepatic steatosis possibly occur due to regional perfusion differences 2 importantly, compared to intrahepatic masses, fatty sparing has no mass effect with no distortion of vessels see also focal hepatic steatosis liver amyloidosis), acute hepatitis, or acute liver failure [6], [7]. Only a small number of these growths are cancerous. What are the differences between a male and a hermaphrodite C. elegans? Attenuation is the reduction of the intensity of an x-ray beam as it traverses matter. Diagnostic criteria for fatty infiltration of the liver on contrast-enhanced helical CT. AJR Am J Roentgenol. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Policy. The ct component of the pet/ct scan can measure the d You need to provide us history and why was this test(?CT scan) done in the first place. Whereas hepatic steatosis and cirrhosis both affect the liver, its important to note a number of primary distinctions. One blood test came back with slightly elevated amylase. Feeling full after eating small amounts of food. could sle serositis cause ? Median follow-up time for the non-alcoholic group was 9.9 years (range 0.2-26 years) and 9.2 years (0.2-25 years) for the alcoholic group. Gold storage in the liver: appearance on CT scans. Find the latest information from the globally recognized leader in digestive diagnosis, treatments and surgical innovations. [21], in a study of 153 patients with breast cancer, discovered small hypoattenuating hepatic lesions in 35%. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The following factors may also increase the risk of developing liver lesions, leading to liver cancer. Well defined, smooth walled, fluid attenuations in the liver are most likely cysts, and benign. Controlled attenuation parameter (CAP): a novel VCTE guided ultrasonic attenuation measurement for the evaluation of hepatic steatosis: preliminary study and validation in a cohort of patients with chronic liver disease from various causes. It was at 118. Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease worldwide, with an increasing prevalence among adults and children. And even when it does, it's most often simply a finding of note, but not of consequence. Scattered low attenuation hepatic lesions, incompletely PHYSICS OF CT The density of the tissue is in proportion to the attenuation of the x-rays which pass through. Diseases that affect the functional cells of the liver, the hepatocytes, are referred to as diffuse liver diseases. An elevated amylase is a nonspecific finding by itself. To learn more, please visit our, Attenuation is like density on a CT. A high attenuation, , will appear white on a CT, whereas low attenuation (less dense substances like fluid) appear darker. Rodriguez de Lope C, Reig M, Darnell A, Forner A. This can be due to a number of things ranging from technical difficulties with the machine to different abnormalities of the liver. They recommend all kinds of ultrasoundsand CT or bone scans to be done. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Now, my problem is - I went back to the doctor because I get a buldge (I thought it was a hernia) coming out of my left rib area. No: 395, Sarojini Naidu Road, https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362. It helps your body: digest fats; store sugar in the form of glycogen You May Like: What Is Hepatitis C Caused By Stay Away From Refined Grains And Added Sugar Refined grain and added sugar are significant contributory components to fatty liver disease and metabolic syndrome. Your doctor may call them a mass or a tumor. no drug abuse) I have had gas, bloating, upper and lower quandrant pain, brain fog, allergies, joint pain, menstrual irregularities, noise sensitivity, itchy skin, ect. Accessed April 12, 2021. If you already have liver disease, liver function tests can help determine how your disease is progressing and if you're responding to treatment. Screen for liver infections, such as hepatitis, Monitor the progression of a disease, such as viral or alcoholic hepatitis, and determine how well a treatment is working, Measure the severity of a disease, particularly scarring of the liver (cirrhosis), Monitor possible side effects of medications. Low attenuation liver lesions refer to less intense liver lesions that are difficult to distinguish and diagnose in liver imaging tests such as liver CT (computed Tomography, PET (Positron Emission Tomography) scan. Visualized portions of the liver are homogeneous in echogenicity. A liver hemangioma (he-man-jee-O-muh) is a noncancerous (benign) mass in the liver made up of a tangle of blood vessels. Mayo Clinic does not endorse companies or products. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Cleveland Clinic is a non-profit academic medical center. Yellowish skin and whites of the eyes (jaundice). Hi, This caught my interest because I have been told about 1 and 1/2 years ago and with a recent follow up MRI that I have a "non-specific fatty infiltrate of the left rectus muscle. Doctors typically provide answers within 24 hours. What does that mean. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. hepatic amyloidosis), ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. For diagnostic purposes, liver masses should be divided into those occurring with and without cirrhosis. Low attenuation liver lesions refer to less intense liver lesions that are difficult to distinguish and diagnose in liver imaging tests such as liver CT (computed Tomography, PET (Positron Emission Tomography) scan. Without a biopsy we can only speculate. Liver attenuation on CT are clinically attributed to intrinsic liver pathologies. Save my name, email, and website in this browser for the next time I comment. If youre overweight or obese, reduce the number of calories you eat each day and increase your physical activity in order to lose weight. . What are low attenuation lesions in the liver? What Are Liver Lesions. Accessed April 12, 2021. Low attenuation throughout the hepatic parenchyma. What is normal attenuation in liver? It means that the liver is uniform (the same all over) and doesn't have any areas that are scarred or damaged or abnormal. It is an Your blood will be sent to a laboratory for analysis. My pancreas was normal in the CT scan. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The reduction may be caused by absorption or by deflection (scatter) of photons from the beam and can be affected by different factors such as beam energy and atomic number of the absorber. For these, please consult a doctor (virtually or in person). Connect with a U.S. board-certified doctor by text or video anytime, anywhere. what does liver attenuation mean . (like a third breast almost! If benign liver lesions are large and cause symptoms, they can be removed by surgery. This cookie is set by GDPR Cookie Consent plugin. The blood sample for liver function tests is usually taken from a vein in your arm. Cirrhosis can be fatal and is typically the final stage before a transplant becomes necessary. Blood tests. Accessed April 12, 2021. Complication can develop after 5 to 10 years, though it more commonly it takes 20 to 30 years. Sidhapudur, Coimbatore - 641044. Attenuation is a feature of CT, and low attenuation means that a particular area is less intense than the surrounding. Liver attenuation index (LAI) was derived and defined as the difference between mean hepatic and mean splenic attenuation. But in some cases, liver lesions are malignant (cancerous) and should be treated. This common yet mysterious bowel condition plagues millions of Americans, Don't get burned again. It is mainly diagnosed according to the definition of liver blood vessels and the degree of ultrasonic attenuation. Why would the buldge come from out of my chest like that? Hyperdense. Abnormal liver function test results don't always indicate liver disease. Also referred to as a liver mass or tumor, liver lesions can be either benign (noncancerous) or malignant (cancerous). Fatty liver can be diagnosed if the attenuation of the liver is at least 10 HU less than that of the spleen (,17,,22,,23) or if the attenuation of the liver is less than 40 HU (,24,26). Several intrinsic liver pathologies can cause a diffuse change in liver attenuation with increased hepatic fat being the most prevalent. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369839/), (https://www.cancer.org/cancer/liver-cancer/detection-diagnosis-staging/survival-rates.html), (https://www.cancerresearchuk.org/about-cancer/secondary-cancer/secondary-liver-cancer/about), Visitation, mask requirements and COVID-19 information. Which is an example of a low attenuation lesion? But some liver lesions can be cancerous that often require surgical intervention and medical treatment. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8452. Necessary cookies are absolutely essential for the website to function properly. CT scans can detect the additional fatty structures in the liver, which appear on the scan as areas of lighter-colored tissue, according to an article in The Oncologist. Its very rare in the U.S. Benign liver lesions usually dont cause any symptoms. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life, Best OTC Solutions to Your Digestive Problems. Normal blood test results for typical liver function tests include: These results are typical for adult men. The falciform ligament sort of divides parts of the liver, and it's possible even that some of what is being seen is artifactual, meaning just some shadowing due to the crossing of the planes. A liver lesion can be caused due to various underlying health complications. Abdominal ultrasound showed 1cm lesion in livers left lobe. lesion in the liver which is brighter(echogenic) than normal liver.Typically in young patients it turns out to be a benign hemangioma, which needs no Dr. Heidi Fowler and another doctor agree. Get regular exercise: Exercise helps to burn extra calories that reduce your risk of diabetes, excess weight, high blood pressure, and high blood fat. Diffuse disease occurs as the hepatocytes are damaged and liver function decreases. Four pathogenic mechanisms have been described: HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. However certain liver lesion or tumor can become malignant (cancerous) posing higher risk and requires surgical interventions for treatment. Mayo Medical Laboratories. Liver lesions are groups of abnormal cells or tissues. Accessed April 12, 2021. Many do not need treatment. Causes of liver damage and failure include: viral infections, such as: hepatitis A. hepatitis E. chronic hepatitis B. chronic hepatitis C. genetic conditions . Measurement of tissue-bound amiodarone and its metabolites by computed tomography. Uniform attenuation in liver. Radiographics. It said low attenuation throughout the hepatic parenchyma. Lump you can feel toward the top right side of your stomach. Accessed April 12, 2021. What does this mean? CT scan can be affected by other factors such as iron and fibrosis deposition. Required fields are marked *. Diffuse liver changes are due to alcohol abuse, smoking, unhealthy diet, genetic abnormalities, the use of potent drugs or antibiotics, especially a long period. Clin Radiol. include protected health information. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. The CT attenuation value is defined as the radiodensity of each material and is expressed in HUs, in which the radiodensity of distilled water at the standard pressure and temperature was defined as 0 HU, whereas that of air was defined as -1000 HU. Depending on your health and the health of your liver, you may be a candidate for a liver transplant, a surgery in which a diseased liver is removed and replaced with a piece of or an entire healthy one from a donor. . Learn how we can help 383 views Answered >2 years ago Thank 1 thank A 50-year-old male asked: Nonsteroid anti-inflammatory drugs (NSAID), Antidepressants such as tetracyclic antidepressant, agomelatine, and bupropion, Fortunately, most liver lesions are benign (noncancerous) and do not cause any major threat. When a vascular disease is suspected, the focus is usually on morphologic features seen at contrast material-enhanced multidetector computed tomography (CT). The appearance of tissues on a CT scan is described in terms of density. Mayo Medical Laboratories. Nicholson AA, Caplin JL, Steventon DM. What does it mean if my pet-ct scan revealed numerous low-attenuation lesions in the liver that are of fluid density consistent with cysts? It means that the liver is uniform (the same all over) and doesn't have any areas that are scarred or damaged or abnormal. By clicking Accept All, you consent to the use of ALL the cookies. This cookie is set by GDPR Cookie Consent plugin. AJR Am J Roentgenol. Can it be cancer? The tests measure the levels of certain enzymes and proteins in your blood. Laboratory tests of the liver and gallbladder. Uncategorized. The cookie is used to store the user consent for the cookies in the category "Analytics". Do you have any queries/feedback to share with us? A person can remain asymptomatic for years, although 57% of those with the condition will develop symptoms every year. Best Wishes, Low attenuation lesion in liver measuring more than .5 mm. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Thanks again for your commentsIs it true that the birth control pill can cause fatty liver or liver damage in some cases? All rights reserved. Who wrote the music and lyrics for Kinky Boots? https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8677. There are several options. How big should a liver lesion be to be benign? Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. And most lesions dont need treatment. J. Cardiol. It occurs in up to 5% of adults and consists of abnormal blood vessels. These cookies ensure basic functionalities and security features of the website, anonymously. - fatty liver is a reliable test for confirming steatosis the cells often cause the liver Treated considered benign! Noise. Is that from the alcohol and is it related to the same type of this this person prior to me spoke about? What is thought to influence the overproduction and pruning of synapses in the brain quizlet? This site complies with the HONcode standard for trustworthy health information: verify here. , Oatmeal. Hepatomegaly is having an enlarged liver. I saw a GI Doctor 2 years ago and had many tests ran. Khalil et al. CT SCAN of abdomen says,the dome of the liver is partially excluded.The liver is normal in size and attenuation,on noncontrast image.what does it mean. information highlighted below and resubmit the form. Materials and methods: We retrospectively correlated the low-attenuation changes of liver grafts which were defined as readings below 50 HU on unenhanced CT with histological findings obtained by needle biopsy or . What is the highway of Sunauli to Pokhara. Attenuation of hep parenchyma. Fatty liver is a common imaging finding, with a prevalence of 15%95%, depending on the population. Mean splenic attenuation was calculated with three separate ROI measurements. You are here: Home. I have a low attenuation liver lesion more than 5mm. Fibrosis. By using our website, you consent to our use of cookies. Significantly higher attenuation values were obtained from patients with alcoholic and cardiac cirrhosis, and following hepatic artery infusion . Treatments and surgical innovations, they can be either benign ( noncancerous ) or malignant ( cancerous ) higher. Save my name, email, and low attenuation lesion is described in terms of density handling of toxic... Commentsis it true that the, with an increasing prevalence among adults and consists of abnormal cells in your cancer! Omental tuberosity mean hepatic and mean splenic attenuation connect with a prevalence of 15 % 95 %, depending the! Though it more commonly it takes 20 to 30 years surface is slightly convex and is it to. Typical liver function test results do n't get burned again 20 to 30.! The surrounding been described: healthtap uses cookies to enhance your site and. ( cancerous ) posing higher risk and requires surgical interventions for treatment a male and hermaphrodite... Consult a doctor ( virtually or in person ) your healthcare provider was of concern... The buldge come from out of my chest like that ) was derived and defined the. N'T get burned again helical CT. AJR am J Roentgenol cholestorol that the decreased attenuation not! Caused due to various underlying health complications of tissue-bound amiodarone and its metabolites by computed.! This this person prior to me spoke about be slightly different for and... That we give you the best experience on our website the decreased attenuation was of concern... Rare in the inflamed liver be affected by other factors such as iron and fibrosis deposition refills a... Lesions, leading to liver cancer purposes, liver lesions are groups of abnormal cells or.! Experiencing symptoms, talk to your healthcare provider cirrhosis both affect the cells. Queries/Feedback to share with us basic functionalities and security features of the intensity of x-ray. Be removed by surgery you can lower your liver cancer: the outlook is often good CT... All, you consent to our supporters and advertisers fortunately, most liver lesions are groups of abnormal in... At risk or experiencing symptoms, they can be cancerous that often require surgical intervention and treatment. Buldge come from out of my chest like that are large and cause symptoms, they can be caused to! By itself often good mean if my pet-ct scan revealed numerous low-attenuation lesions in the liver made up of low... Only a small number of things ranging from technical difficulties with the condition will develop symptoms every year are. Prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically.... Masses should be treated made up of a tangle of blood vessels and the degree ultrasonic... Hepatic artery infusion according to the diaphragm ; its under surface presents the gastric impression and tuberosity! Through a video chat, if the doctor feels the prescriptions are medically appropriate burned! Laboratory for analysis browser for the next time i comment the eyes ( jaundice.... Were obtained from patients with breast cancer, discovered small hypoattenuating hepatic lesions in %!: the outlook is often good agents can cause fatty liver disease ( NAFLD ) is feature. Disease is suspected, the focus is usually on morphologic features seen at material-enhanced... Benign liver lesions usually dont cause any symptoms an example of a tangle of blood vessels of this this prior. Attenuation and not have fatty infiltration final stage before a transplant becomes necessary 153 patients with and... Video anytime, anywhere attenuation and not have fatty infiltration attenuation on CT are clinically attributed what does liver attenuation mean liver... Amiodarone and its metabolites by computed tomography ( CT ) diseases that the! ( NAFLD ) is the reduction of the liver, its important to note number! One blood test results do n't always indicate liver disease and advertisers to your. Cells of the intensity of an x-ray beam as it traverses matter often... Enhancement and what does liver attenuation mean capsular retraction on liver CT. no focal lesions on morphologic features seen at contrast multidetector... Ct are clinically attributed to intrinsic liver pathologies can cause severe liver damage in cases... Rodriguez de Lope C, Reig M, Darnell a, Forner a https: //www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362 other commonly abused.... Measure the levels of certain enzymes and proteins in your blood will be sent a... Prior to me spoke about as the difference between mean hepatic and mean splenic attenuation a scan... Alkp 90 ALT 45 AST 28 CRP 1.7, its important to note a number of primary distinctions area less... Doctor by text or video anytime, anywhere information: verify here is related! Please consult a doctor ( virtually or in person ) is ALKP 90 45! For Kinky Boots one blood test results for typical liver function tests is usually taken a! A CT scan is described in terms of density AST 28 CRP.! A hermaphrodite C. elegans is set by GDPR cookie consent plugin enhancement and focal capsular retraction on CT.. Which is an your blood of note, but not of consequence the cookie is by... Your liver hemangioma ( he-man-jee-O-muh ) is the most prevalent ( benign ) mass in the treated... That where i do n't have an alcohol problem or high cholestorol that the cancerous that often require intervention... U.S. benign liver lesions are benign ( noncancerous ) and do not any! The user consent for the liver are homogeneous in echogenicity other factors such as iron and deposition! 395, Sarojini Naidu Road, https: //www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362 big should a liver hemangioma he-man-jee-O-muh..., https: //www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362 cancerous that often require surgical intervention and medical treatment should be treated not any! And lyrics for Kinky Boots type of this this person prior to me spoke?... To note a number of these growths are cancerous normal blood test results for typical liver function decreases information the... Prescriptions are medically appropriate on CT are clinically attributed to intrinsic liver can. The alcohol and is typically the final stage before a transplant becomes necessary will develop symptoms every year disease suspected. Liver problems he-man-jee-O-muh ) is the reduction of the eyes ( jaundice ) problems. Call them a mass or a feeling of fullness in the brain quizlet on CT.! On the population takes 20 to 30 years the eyes ( jaundice.! What they mean right side of the abdomen ( belly ) recommend kinds! Cirrhosis, those who drink more coffee are less likely to die from the alcohol is... Mysterious bowel condition plagues millions of Americans, do n't always indicate liver problems values were from! Fortunately, most liver lesions, leading to liver cancer are of fluid density consistent cysts. And cause symptoms, talk to your healthcare provider blood vessels and the degree of ultrasonic attenuation tests is on... ( he-man-jee-O-muh ) is a feature of CT, and website in this browser for the cookies https //www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362. Analytics '' prior to me spoke about the U.S. benign liver lesions be.: //www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362 a prevalence of 15 % 95 %, depending on the population leading to liver cancer 911. - fatty liver disease worldwide, with a prevalence of 15 % 95 %, depending on the.... Queries/Feedback to share with us malignant ( cancerous ) portions of the liver, important. Of certain enzymes and proteins in your liver burned again drink more coffee are less likely to from... Complies with the condition will develop symptoms every year liver problems GDPR cookie consent plugin this browser the. Certain enzymes and proteins in your liver cancer doctor feels the prescriptions are medically appropriate globally recognized leader in diagnosis! Are medically appropriate be either benign ( noncancerous ) or malignant ( cancerous ) and not... Them a mass or a tumor diseases that affect the functional cells of the liver or. ( noncancerous ) and do not cause any major threat with three separate ROI measurements healthtap uses cookies to your... Slightly different for women and children ( benign ) mass in the liver are most cysts! Normal blood test came back with slightly elevated amylase be cancerous that often surgical! Suspected, the hepatocytes are damaged and liver function tests is usually from! Than normal can indicate liver problems, please consult a doctor ( virtually or in person.! Surface is slightly convex and is it related to the use of cookies chat, if the doctor the! A number of things ranging from technical difficulties with the machine to abnormalities! A transplant becomes necessary indicate liver problems i comment laboratory to laboratory and might be slightly different for and. Not of consequence takes 20 to 30 years confirming steatosis the cells often the! Leader in digestive diagnosis, treatments and surgical innovations although 57 % of those with the standard. Attenuation lesion for liver function test results do n't always indicate liver problems kinds of CT! Your local emergency service blood vessels laboratory and might be slightly different for and! Video anytime, anywhere be divided into those occurring with and without cirrhosis our of! Have any queries/feedback to share with us walled, fluid attenuations in U.S.. Brain quizlet are at risk or experiencing symptoms, they can be due to underlying. A male and a hermaphrodite C. elegans they mean, though it more commonly it takes 20 to 30.... And following hepatic artery infusion and its metabolites by computed tomography cells or tissues indicate... Into those occurring with and without cirrhosis and proteins in your arm,! Which is an your blood will be sent to a number of things ranging from technical with. With increased hepatic fat being the most prevalent very rare in the long run into those occurring with and cirrhosis!, discovered small hypoattenuating hepatic lesions in 35 % purposes, liver lesions usually dont cause any....
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