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 Ultrasoundjobs.com » ultrasound.infopop.net » Here's Something Interesting » What is the cut off size for enlarged liver ?

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AuthorTopic:   What is the cut off size for enlarged liver ?
That Girl
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This is an icon describing the mood of the topic or describing information contained in the topic. For more info on icons, read our FAQ. posted 09-15-09 Click Here to See the Profile for That Girl   Reply With QuoteEdit or Delete Message
Liver: An organ in the upper abdomen that aids in digestion and removes waste products and worn-out cells from the blood. The liver is the largest solid organ in the body. The liver weighs about three and a half pounds (1.6 kilograms). It measures about 8 inches (20 cm) horizontally (across) and 6.5 inches (17 cm) vertically (down) and is 4.5 inches (12 cm) thick.


" I found the above " Abdominal LIVER is not my specialty, but curious as to this information above , is this true , the liver can be that big ? "

Posts: 187 | From: fl | Registered: 02-18-02
sonomatt
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This is an icon describing the mood of the topic or describing information contained in the topic. For more info on icons, read our FAQ. posted 09-16-09 Click Here to See the Profile for sonomatt   Reply With QuoteEdit or Delete Message
liver size

Literature varies on what constitutes "Hepatomegly". Most radiologist will call the liver enlarged when the midclavicular length is greater than 16-17cm, however this is also variable and depends on the patient's condidtion. For instance, a fatty liver that measures this big is usually enlarged, but a normal appearing liver may not be considered enlarged at 17cm.

When talking about liver size, we must also remember that some livers will have a Riedell's lobe, which can mimic hepatomegly.

Posts: 127 | From: texas | Registered: 10-07-03
That Girl
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This is an icon describing the mood of the topic or describing information contained in the topic. For more info on icons, read our FAQ. posted 09-16-09 Click Here to See the Profile for That Girl   Reply With QuoteEdit or Delete Message
quote:
Originally posted by sonomatt:
Literature varies on what constitutes "Hepatomegly". Most radiologist will call the liver enlarged when the midclavicular length is greater than 16-17cm, however this is also variable and depends on the patient's condidtion. For instance, a fatty liver that measures this big is usually enlarged, but a normal appearing liver may not be considered enlarged at 17cm.

When talking about liver size, we must also remember that some livers will have a Riedell's lobe, which can mimic hepatomegly.


Thank you Matt, you are always so informative. I too would like to ask ,how often do you see a solitary liver calcification about 7 to 8 mm in size ( casting shadow ) and typically what are the reasons one may get this ?


TIA

Posts: 187 | From: fl | Registered: 02-18-02
sonomatt
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This is an icon describing the mood of the topic or describing information contained in the topic. For more info on icons, read our FAQ. posted 09-24-09 Click Here to See the Profile for sonomatt   Reply With QuoteEdit or Delete Message
liver calcifications....

Excellent question...

There are few reasons why you may encounter liver calcifications, either solitary or in multiples.

First, liver calcifications are sort of a rareity. We don't usually see them a whole lot.

It is possible to see them with alchoholic cirrohsis, but typically the pancreas will get calcific in alcoholics, not the liver.

A solitary calcific mass is usually the result of a previous pyogenic abcess, fungal abcess, or possibly a parasitic infection.

Some liver cancers can cause calcified masses, and granulomatous disease will also cause them as well, but typically as multiple masses.

Another condition that can memic a calcified mass is air or gas in the biliary ducts after an ERCP.It can be focal with shawdowing just like a mass.

With so many differentials, you can see why a good HX is crucial, something I preach to my students constantly.

Posts: 127 | From: texas | Registered: 10-07-03
That Girl
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This is an icon describing the mood of the topic or describing information contained in the topic. For more info on icons, read our FAQ. posted 09-29-09 Click Here to See the Profile for That Girl   Reply With QuoteEdit or Delete Message
quote:
Originally posted by sonomatt:
Excellent question...

There are few reasons why you may encounter liver calcifications, either solitary or in multiples.

First, liver calcifications are sort of a rareity. We don't usually see them a whole lot.

It is possible to see them with alchoholic cirrohsis, but typically the pancreas will get calcific in alcoholics, not the liver.

A solitary calcific mass is usually the result of a previous pyogenic abcess, fungal abcess, or possibly a parasitic infection.

Some liver cancers can cause calcified masses, and granulomatous disease will also cause them as well, but typically as multiple masses.

Another condition that can memic a calcified mass is air or gas in the biliary ducts after an ERCP.It can be focal with shawdowing just like a mass.

With so many differentials, you can see why a good HX is crucial, something I preach to my students constantly.


Matt ,thanks again as you are always so enlightening !

Posts: 187 | From: fl | Registered: 02-18-02

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