The echo of the liver is getting stronger and stronger. What is calcification in the liver?

First of all, it is sometimes difficult to understand the medical terms of liver echo thickening, but these reports are simple and standardized expressions, which are convenient for clinicians to understand and master. Just as we talk about Zion Williams, an NBA player, we need a universal translator to communicate easily.

In other words, the ultrasound report is a tool for ultrasound doctors to communicate with clinicians. What the doctor has to do is to explain the report to the patient in simple words.

The echo of the liver thickens. What do you think of when you first see this term? I think of clothes with fur balls or white cloth with ink.

In other words, there is a lesion in the smooth and uniform liver parenchyma (this lesion is not necessarily a big problem). When the surgeon cuts open the liver, he can see the lesion with the naked eye. Ultrasound doctors can see this lesion on the ultrasound section, which they describe as "thickening of liver echo".

Thickening of liver echo indicates that your liver has been eroded by wind and rain, which is what we call inflammation. However, this kind of inflammation is limited and has not had a big impact. After the rain cleared, the liver returned to calm, but it left the mark of inflammation.

It can be understood that if the ultrasound only says that the echo of the liver becomes thicker, it means that there is nothing wrong with the liver. But if he says there are false lobules and regenerative nodules, then this description is closer to cirrhosis. But more tests are needed to judge cirrhosis.

As surgeons, we have seen the appearance of many livers directly. The appearance is smooth, greasy and golden yellow, indicating that this is fatty liver. The appearance is covered with protrusions and dark colors, like a dehydrated pineapple. This is liver cirrhosis. However, the liver with thickened liver echo has no clear appearance with naked eyes (not much different from normal liver). But in any case, observing liver cells under a microscope is what we call the "gold standard".

Let's talk about what intrahepatic calcification is. Calcification is common in liver tuberculosis and intrahepatic bile duct stones. Chronic inflammation or trauma of liver: such as chronic hepatitis and liver abscess; Tumors: such as hepatic hemangioma; Parasitic infection, congenital dysplasia.

It doesn't matter if you can't remember. You can think of calcification in the liver as a "fossil" in the liver. Whatever the reason, liver cells are petrified and hardened.

Calcified lesions, the word focus, stands for limitation. Many calcified lesions may be the size of rice grains. Calcified lesions can be seen under CT, and there are white spots on the black liver.

Someone wants to ask what is the difference between calcified lesions and stones? The difference is that the stone is in the bile duct. Remember, they are in the bile duct, not in the blood vessels. When it appears in blood vessels, it is called a thrombus. The calcification focus is in the liver parenchyma, which is the tender liver tissue outside when we fry pig liver.

Described as a house, the stone is in the water pipe and calcified on the wall.

Similarly, calcification rarely becomes cancerous and is unlikely to become bigger (this is a popular science, and it is best to consult a doctor if calcification changes). So, don't worry about calcification.

Hyperechoic thickening of liver and calcification in liver are two different imaging manifestations, which can exist at the same time or independently, but they are closely related to liver inflammation, but they may be inflammation of different nature.

During or after liver inflammation, the echo of the liver will thicken, and calcification is generally limited to after inflammation, which is the performance of inflammatory repair. Echo thickening can be alleviated, while calcification generally exists for a long time.

Under the action of various pathogenic factors, liver cells and their functions are damaged, and liver cells may have edema and inflammation, which stimulates the proliferation of stromal cells around liver cells. Just like ordinary walls, they are mainly made of bricks, and matrix cells are filled in the joints of bricks like cement. If there are fewer bricks and more bricks, the structure will be disordered and the texture will become rough. This is a pathological change of liver cell inflammation and stimulation at the same time, which is liver fibrosis.

But don't be afraid when you hear about fibrosis. Fibrosis is mild or severe and can be completely reversed. This pathological change of fibrosis will make the texture of the liver harder than normal, and it is easy to show echo thickening on the ultrasonic image of color Doppler ultrasound. This kind of echo thickening will last for a long time after the inflammation heals, even showing thickening state.

When the echo becomes thick, it is necessary to judge whether there is inflammation or cirrhosis by combining liver function, alpha-fetoprotein, CT or magnetic vibration. If there is nothing wrong with these tests, it is the reaction after the inflammation is repaired. The manifestations of liver fibrosis do not need special treatment except for the treatment of the cause, and regular review is enough.

Calcification in the liver is another manifestation of inflammation after repair. The focus of this calcification is relatively limited, and it is more common in local areas. Infectious diseases of the liver, such as mycobacterium tuberculosis or other bacterial infections, will have calcium ions deposited locally after healing, showing calcification. Calcified lesions are equivalent to scars left by inflammation healing and do not need treatment.

Thickened echoes or calcified lesions in the liver can only show signs of inflammation, which does not mean that it can cause obvious symptoms in the human body. Many people may have no symptoms at all. These two manifestations are generally benign findings, so don't worry too much.

Neither case requires treatment. However, in daily life, we should pay attention to maintaining good living habits, such as not drinking, smoking, staying up late, avoiding strenuous exercise and continuous high-intensity exercise, which will increase the burden on the liver. In terms of diet, you can eat some digestible foods rich in protein, eat more fruits and vegetables, and keep a good attitude.

Because of the tense relationship between doctors and patients, the reports issued by some B-ultrasound doctors are becoming more and more vague. For example, some visible masses on the body surface, the report only wrote space-occupying lesions. Excuse me, are we all blind? Can't we see the tumor on our bodies? ……

This is a sign of lack of responsibility, and it is also a sign of insufficient level. How do patients interpret the report of "thickening and calcification of liver echo"

What is the color Doppler description of normal liver? Normal liver, color Doppler ultrasound should be uniform in thickness, smooth in surface and sharp in edge; The liver parenchyma is uniform and diffuse, with small dots of moderate echo, strong echo of blood vessel wall in the liver, clear display of blood vessel lumen and clear development of large vessels inside and outside the liver.

What can cause the echo of the liver to thicken? 1. "Thickening of liver echo" The most common clinical situation is that the patient suffers from viral hepatitis, such as hepatitis B and hepatitis C. Under the repeated attack of inflammation, there will be more fibrous tissue hyperplasia in the process of liver repair, and the density is higher than that of liver cells, so what B-ultrasound sees is thickening of echo.

2. Early cirrhosis can also be manifested as thickening of liver echo, diffuse liver lesions and enhanced echo.

3. In addition to the thickening and enhancement of the liver echo, fatty liver can also be seen to increase obviously.

What is calcification in the liver? Calcified lesions show that the liver is originally soft tissue with a high-density shadow like calcium.

These high-density shadows will appear in the following situations, such as: 1) local scar formation after liver abscess healing; 2) intrahepatic bile duct stones; 3) evolved from parasites that died after being infected with liver fluke disease; 4) Lesions left by liver tuberculosis infection.

In short: thickening of liver echo and calcification in liver are not the same thing, but they can be combined into one, such as cirrhosis caused by liver fluke disease. B-ultrasound can show that the echo of the liver is thickened, but those dead parasites will become calcified again.

Thickening of liver echo is only a description of the shape, structure and density of the liver, and it is not a diagnosis in itself. If it is necessary to know the cause of the change of liver density, liver function and hepatitis B should be checked in pairs.

In short, you can't be afraid of illness and doctors.

The rough echo of liver is a very common description of liver under ultrasound. The rough echo of parenchyma indicates that the liver parenchyma is damaged, which is more common in the degeneration of liver. Such as diet, drinking, drugs, viral hepatitis, autoimmune hepatitis and other reasons, it is found that the echo of liver parenchyma is rough, and patients must take a look at it in combination with liver function. If there is no problem with liver function and there is no viral hepatitis, then the patient is advised to check the ultrasound regularly to observe the changes of the liver. If the patient suffers from viral hepatitis, it is necessary to further consider whether treatment is needed in combination with the liver function and virus amount, and it is also necessary to regularly check the ultrasound to see if the liver damage is further aggravated to avoid problems such as cirrhosis.

Intrahepatic calcification is a calcified lesion of the liver found by B-ultrasound or X-ray examination. Calcified lesions are terrible for some people, but they are not necessary. Because of liver cell damage, scar calcification forms lesions. Calcified lesions will not cause obvious lesions, but some diseases, such as liver cancer, can form calcified lesions in the liver, so other examination methods should be used to exclude liver tumors. Generally, small calcifications are not serious as long as they are observed regularly. Don't be too nervous. Regular observation is mainly to go to the hospital for B-ultrasound for 3 months and half a year to see if the lesion has developed.

(Special answer for doctors and patients: Dr. Zhang from the Second Hospital of Tianjin Medical University)

When many people do abdominal ultrasound, the liver report shows that the liver echo is thickened and/or the liver is calcified, then. What does this mean? Does it mean that my liver is seriously damaged?

We know that the results of these two reports sometimes appear in one report at the same time, and sometimes appear separately. In any case, the results of these two reports indicate that the patient's liver may have been inflamed. Generally speaking, the enhancement of liver echo often occurs during or after liver inflammation, and calcification, generally speaking, often indicates the process of body repair after inflammation. Usually, the former is likely to decrease gradually with the passage of time, while the latter will generally exist for a long time.

The enhancement of liver echo is often caused by liver cell damage caused by various reasons, and then the surrounding interstitial cells proliferate, and finally liver fibrosis occurs. On ultrasound, the liver showed enhanced liver echo. However, the liver damage caused by some infections is relatively limited. In the process of liver healing, there may be calcium ion deposition, which shows calcification.

In modern society, many people report that ultrasound examination of liver echo enhancement and/or liver calcification, and patients often have no discomfort. If there is no progress, treatment is generally not needed, and regular review is usually enough. However, we know that these reports often suggest that patients have liver inflammation and liver damage. Therefore, in daily life, we must develop good habits, such as maintaining a good mood and mentality, eating more digestible food and fresh fruits and vegetables rich in protein, quitting smoking and drinking, not staying up late, avoiding strenuous exercise and continuous high-intensity exercise to protect the liver, so as to reduce further damage to the liver.

Hello everyone, I am a professional and humorous pharmacist named Tian Luo. I'm happy to answer your question. You are asking: "The echo of the liver is getting thicker. What is the calcification in the liver?" This question is explained by Tian L Luo Pharmacist as follows.

Please listen to the specific explanation of pharmacist Tian Luo.

Hepatic echo thickening and intrahepatic calcification are both descriptions of liver imaging examination. Thickening of liver echo is a common result of liver ultrasound examination, and it is a stage in which the liver gradually transits to early liver fibrosis or cirrhosis.

There are many reasons for this. The most common is our viral hepatitis, or after long-term drinking, high-fat diet, smoking, being overweight and not exercising regularly may all lead to fatty liver and pathological changes in the essence of the liver. There are also some chronic diseases such as chronic cholecystitis, cholestasis and hepatic hemangioma. , leading to repeated destruction of hepatocytes, proliferation of some fibrous tissues in the liver, and gradual increase of liver parenchyma density. At this time, the echo of the liver will be enhanced. It is suggested that according to the situation of liver function.

Calcification in the liver is caused by the accumulation of calcium, which can present strong echo masses and sound shadows similar to stones, but generally does not cause hepatobiliary dilatation. Intrahepatic bile duct stones are the most common factor leading to intrahepatic calcification. Chronic inflammation or trauma of the liver, parasitic infection, benign and malignant liver tumors and intrahepatic metastasis calcification can all lead to intrahepatic calcification. If the liver function is normal, through the quantitative examination of virus DNA, the number of viruses is small, and simple calcification does not need treatment.

That's what I said, "The echo of the liver becomes thicker. What is calcification in the liver?" I hope I can help you.

I'm Dr. Luo from Tiancheng Kangkang, your family health housekeeper, and I'm willing to share more interesting, high-quality and rigorous health information with you to solve family health problems. Kangkang will work with you hand in hand! Pay attention to @ Tiancheng Kangkang L Luo Pharmacist and share more healthy dry goods with you. It means that the scar formed by inflammation of liver parenchymal cells is not a big problem. However, some patients may feel flatulence in the liver area of patients with intrahepatic bile duct stones. For example, being diagnosed as intrahepatic calcification by a regular hospital generally does not require treatment. The causes of liver calcification may be inflammation, tuberculosis and so on. It may also be fibrotic scar after calcification in liver and local necrosis of liver tissue. Don't worry too much, but you need to review on time and pay more attention to your eating habits!

If the ultrasonic examination finds that the echo in the liver or liver parenchyma is thickened, it is considered as a manifestation of liver injury. The most common is that patients who drink alcohol all the year round will lead to alcoholic hepatitis, and the echo of the liver will be rough; It can also be seen in patients with chronic liver disease. The most common is chronic viral hepatitis, which can also lead to the damage of hepatocyte membrane and affect the metabolic function of liver. Ultrasonic examination found that the echo was rough; Some patients suffer from drug-induced hepatitis, hepatobiliary diseases, biliary obstruction or secondary infection, all of which affect liver function to some extent; In addition, chemotherapy patients will have similar changes because of the toxic and side effects of chemotherapy drugs in liver metabolism and liver damage. Visceral calcification is a pathological change caused by calcium salt deposition in liver parenchyma for various reasons. Color Doppler ultrasound or CT examination showed hyperechoic or high density lesions. The formation of calcification can be seen in liver trauma, liver inflammation, intrahepatic bile duct stones, liver parasitic diseases, and some benign and malignant tumors or metastatic tumors can also appear. Simple calcified lesions have no mass formation, generally have no effect on liver function, have no effect on human survival, and have no clinical symptoms, so there is no need for special treatment, so regular observation and review of color Doppler ultrasound can be enough. If calcification is accompanied by mass formation, it is necessary to clarify the nature of the mass and then make a treatment plan.