Is it necessary to see a GI doctor for a 1) mild hepatomegaly and focal fatty sparring seen in the right lobe and the portal hepatitis region with no focal solid lesion. And 2) right renal parapelvic simple cyst. it doesn t sound serious enough. Is it necessary to see a GI doctor?
Hi, Thanks for writing in.1. Mild hepatomegaly on ultrasound indicates that the size of your liver is more than 14.5 CMS. The focal fatty sparing is not a concern. It is important to know why the liver is enlarged in size for you. This can be known after consulting a GI doctor if available. Even a general medicine specialist can be consulted. Your doctor might ask for certain liver function tests and enzyme levels. The common liver enzymes are the following. Aspartate aminotransferase (AST)Ala nine aminotransferase (ALT)Alkaline phosphataseGamma Gautama transpeptidasetests like serum bilirubin direct and total will also have to be done depending on symptoms.2. Right renal para pelvic simple cyst is not a concern if less than 3 CMS in size. These are fluid filled thin walled balloon like structures and completely harmless in most people when small.