What is liver shadow

The presence of a shadow in the liver mainly refers to the discovery of such a phenomenon during an ultrasound examination. There are many reasons for this liver shadow, such as liver cysts, hemangiomas, and even severe liver cancer, etc. In these cases, other examinations need to be done to confirm the diagnosis and then receive regular treatment. Let's take a look at this aspect.

What is liver shadow?

If there is a shadow on the liver, it means that there is something abnormal with the liver, which may be a liver cyst, liver hemangioma or liver cancer. Therefore, if a shadow is found in the liver, a CT-enhanced examination is needed. If it is a liver cyst, if the cyst is not very large, then no treatment is needed. If it is very large, surgical removal is required. Hemangioma is also benign, so as long as it does not affect the function of nearby organs, it does not require treatment. Liver cancer patients need anti-cancer treatment, liver transplantation, chemotherapy and other treatment methods.

Chronic liver damage must do these 6 examinations

(A) Diagnostic abdominal puncture. This method is of great value in diagnosing rupture of intra-abdominal organs, especially laceration of solid organs. Generally, if the blood does not coagulate, it can be considered that there is internal organ damage. However, a false-negative result may occur when the amount of bleeding is small, so a negative puncture result cannot rule out visceral injury. If necessary, multiple punctures can be performed at different locations and times, or diagnostic peritoneal lavage can be performed to assist in diagnosis.

(ii) Regularly measure red blood cells, hemoglobin and hematocrit. Observe its dynamic changes. If there are signs of progressive anemia, it indicates internal bleeding.

(III) Type B ultrasound examination: This method can not only detect intraperitoneal blood accumulation, but also helps in the diagnosis of subcapsular hematoma and intrahepatic hematoma. It is commonly used in clinical practice.

(iv) X-ray examination: if there is subcapsular hematoma or intrahepatic hematoma, X-ray or fluoroscopy may show enlarged liver shadow and elevated diaphragm.

(V) Radionuclide liver scan: For closed injuries with unclear diagnosis, suspected subcapsular or intrahepatic hematoma, and if the injury is not urgent, an isotope liver scan may be performed if the patient's condition permits. Patients with hematoma will show radioactive defect areas in the liver.

(6) Selective hepatic artery angiography: This method can be used for some closed injuries that are difficult to diagnose, such as suspected intrahepatic hematoma, but the injury is not very urgent. Diagnostic signs such as aneurysm formation of intrahepatic artery branches or contrast agent extravasation may be seen. However, this is an invasive examination with complicated operation. It can only be performed under certain conditions and cannot be used as a routine examination.