Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?

Q: Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?

Hello： If there is jaundice (yellowing of the eyes and skin), further investigation is necessary to determine the cause (such as issues with the bile ducts, gallbladder, liver, etc.) in order to treat the underlying condition. <br>Additionally, the diagnosis of cirrhosis must be

The ultrasound of the liver shows surface sclerosis?

Dear Dr.
Liang: Recently, my brother has been experiencing fatigue, nausea upon waking up in the morning, and dizziness.
His sclera sometimes appears yellowish.
He visited the Veterans General Hospital, where the doctor performed an ultrasound of the liver, which showed surface nodularity.
Does this indicate liver cirrhosis? The test results are not yet available.
The doctor recommended a CT scan.
He has never been tested for hepatitis B.
He does not smoke or drink alcohol, but he has been under significant work stress and has had insufficient sleep, leading to fatigue.

(1) If it is indeed liver cirrhosis, should he resign from his job to rest properly?
(2) Will the symptoms continue to worsen?
(3) Is it possible that he has had hepatitis for a long time?
(4) He currently lives in Hsinchu; since Taipei Veterans General Hospital is too far, could you recommend a hepatobiliary specialist in Hsinchu? Thank you.

Jia Jia, 30~39 year old female. Ask Date: 2003/11/27

Dr. Liang Jiade reply Gastroenterology and Hepatology

Hello: If there is jaundice (yellowing of the eyes and skin), further investigation is necessary to determine the cause (such as issues with the bile ducts, gallbladder, liver, etc.) in order to treat the underlying condition.
Additionally, the diagnosis of cirrhosis must be confirmed through ultrasound, multiple blood tests, and medical history.
The most common causes are viral hepatitis (types B and C), alcoholic hepatitis, etc.
(Typically, chronic hepatitis may take 10-20 years to gradually progress to cirrhosis).
If cirrhosis is indeed diagnosed, it is not necessarily required to quit your job; adequate and proper rest is sufficient, and regular monitoring for any related complications is essential.
If there are any other concerns, it is best to wait for the test results before discussing them in detail with your physician.

Reply Date: 2003/11/27

More Info

Understanding liver ultrasound results can be quite complex, especially when terms like "surface hardening" or "coarse echo pattern" are used. In your brother's case, the ultrasound findings indicating surface hardening could suggest liver abnormalities, potentially cirrhosis, but it is essential to interpret these results in the context of his overall clinical picture.

1. Is Surface Hardening a Sign of Cirrhosis?
Surface hardening of the liver observed on ultrasound can be indicative of cirrhosis, but it is not definitive on its own. Cirrhosis is characterized by the replacement of healthy liver tissue with scar tissue, which can lead to a rough or nodular surface. However, other conditions, such as fatty liver disease or chronic hepatitis, can also present with similar ultrasound findings. Therefore, further diagnostic tests, including blood tests for liver function and possibly a liver biopsy, may be necessary to confirm the diagnosis.

2. Should He Quit His Job if He Has Cirrhosis?
If cirrhosis is confirmed, the decision to continue working should be made based on the severity of his liver disease and overall health. Many individuals with compensated cirrhosis (where the liver is still functioning adequately) can continue to work, but they should prioritize rest and manage stress effectively. If his symptoms worsen or if he develops complications related to cirrhosis, such as ascites or hepatic encephalopathy, it may be necessary to reconsider his work situation.

3. Could He Have Had Hepatitis for a Long Time?
It is indeed possible that your brother has had chronic hepatitis for an extended period without being aware of it, especially since he has not been tested for hepatitis B or C. Chronic viral hepatitis can lead to progressive liver damage over many years, potentially resulting in cirrhosis. Given his symptoms of fatigue, jaundice (yellowing of the eyes), and the ultrasound findings, it would be prudent for him to undergo serological testing for hepatitis viruses.

4. Finding a Specialist in Hsinchu:
Since your brother resides in Hsinchu and finds it challenging to travel to Taipei, it is advisable to seek a hepatologist or a gastroenterologist specializing in liver diseases closer to home. Many hospitals and clinics in Hsinchu should have specialists who can provide the necessary follow-up care and management for liver conditions.

In summary, while the ultrasound findings of surface hardening could suggest cirrhosis, a definitive diagnosis requires further evaluation. It is crucial for your brother to follow up with his healthcare provider for comprehensive testing and to discuss his symptoms and concerns. Regular monitoring and appropriate lifestyle adjustments can significantly impact his health outcomes.

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