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Hep C Discussion Forum -> General Discussion -> Liver Scan
Post Info TOPIC: Liver Scan
mallani


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RE: Liver Scan
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OK mate. I forgot you had the Chemo for the bowel cancer.

I'd try to get an independent Radiologist to compare the CT and MRI. The reports are very different.

Good luck.



__________________

Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
dtre30319


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Hello,
  My platelets have gone up to 117 since my last blood work two weeks ago.  The platelets were low originally due to the chemotherapy, which I finished in April 2015 and have continuously gone up.  The report from November 2015 was from Cancer Treatment Center.  The MRI from last week was from Emory University hospital.  Im waiting on the doctor to schedule liver biopsy and I'm also schedule to have a full CT scan on Sunday at the Caner Treatment Center. 



-- Edited by dtre30319 on Friday 4th of March 2016 02:24:49 AM

__________________

2002=Stage 0 (Gen 1A) 
2003=Peg/Inferon (Fail)
2012=Peg/Incivick (Fail)
2015=Harvoni (Undetectable)
Firbroscan 1
2017=undetectable (MRI liver regenerating)
September 2018 = Still undectable

 

 
mallani


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It's a bit confusing.

Your CT from Nov 15, 2015 showed 'diffuse low attenuation in keeping with fatty change'. It didn't mention any upper abdominal collaterals.

Now, the MRI reports states ..'no hepatic iron or fat deposition'. Someone is incorrect.

The patchy arterial enhancement in the R lobe may indicate cirrhosis.

I am concerned about the 'upper abdominal collaterals noted' and the fact that your platelets are only 89.

This suggests portal hypertension and ? cirrhosis.

Mate, I'd have a biopsy to see what's going on or at least, ask your doctor to explain the difference between the 2 reports.

Have you had a gastroscopy to exclude varices?



__________________

Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
Tig


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Malcolm will be the best source for information, hopefully he will comment later. The spleen enlargement is indicative of advanced fibrosis. With cirrhosis they typically find splenic enlargement. Do you have any current blood tests you can share?. I was an F3 with some splenic enlargement pre treatment and just had an abdominal ultrasound and my spleen has returned to normal. Someday I'll have a Fibroscan to see what my fibrosis stage is, but I'm not concerned about it after 2+ years post SVR. 

Some progress to higher fibrosis stages faster than others, so it's possible you could've gained a stage or two. Without additional information, it's difficult to make that determination. Have you had any additional fibrosis testing done recently? There is no mention of cirrhosis specifically, but they're going to keep an eye on it with the 6 month tests. Hopefully in time you'll see your spleen reduce in size. 

Since you have finished treatment and continue to be undetected, the likelihood of SVR is good. There is no guarantee of improved fibrosis (regression) but the reports of improvements are widespread, so your chances are good. One thing we do feel pretty good about is the cessation of disease progression once SVR is achieved. 



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Tig

68yo GT1A - 5 Mil - A2/F3 - (1996) Intron A - Non Responder, (2013) Peg/Riba/Vic SOT:05/23/13 EOT:12/04/13 SVR 9+ years!

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JimmyK


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Hi.

 

The wording sounds to be comparative to previous tests. "Mild changes" to mild fibrosis does not sound cirrhotic to me but I am no expert. I am sure others will weigh in and congrats on the UND!

 

JimmyK



-- Edited by JimmyK on Thursday 3rd of March 2016 08:45:25 PM

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Harvoni TX 2 12 weeks. UND weeks 4, 12 and now EOT + 4 Weeks. SVR-12 09/29/16. All Glory, Honor and Thanks be to God.

"I go to war with the brothers I trust."
dtre30319


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Hello,
  Can anyone help me interpret the attached liver scan results.  This is where my doctor said its possible cirrhosis when I had mild fibrosis two year ago.  



Attachments
Report_MRI.docx (105.7 kb)
__________________

2002=Stage 0 (Gen 1A) 
2003=Peg/Inferon (Fail)
2012=Peg/Incivick (Fail)
2015=Harvoni (Undetectable)
Firbroscan 1
2017=undetectable (MRI liver regenerating)
September 2018 = Still undectable

 

 
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