29 year old female. Made Dr. appt. for RLQ abdominal pain. Physical examination , including palpitation of the RLQ produced increasing pain. Dr. Ordered labs drawn - WBC was elevated, potassium was slightly low. Ultrasound was ordered for the following day, as well as 500mg amoxacillin tid. Ultrasound of lower and upper abdomen showed irregular heterogenous area in upper aspect of the right lobe of the liver of mixed echogenicity. Suggested atypical pattern of fatty infiltration, or atypical hemangioma . Recommended CT scan of abdomen and pelvis to evaluate the liver. CT scan showed fatty liver with area of enhancement in the lateral aspect of the right lobe of the liver (2.9 cm), normal pancreas, spleen, adrenal glands , and appendix. CT summary
Hi, Thanks for writing in. It is possible that your symptoms (abdominal pain and bloating) may be related to focal nodular hyperplasia. However, we do need to rule out problems like gastroesophageal reflux disease. In this regard, small meals at regular intervals; an early dinner and Tablet Prevail OTC 20 will help. It is unlikely that the amoxicillin and potassium will actually help relieve your symptomsHowever, the fluid retention in the ankles and the hands needs to be looked into. To help you further in this regard, I would like to know the reason that you are taking metoprolol, and Maxine. Awaiting your reply. Regards