Hello patients! We, B-mode ultrasound (ultrasound for short), are your hepatitis patients’ best friends. Because we bring you the most commonly used, practical, economical and non-invasive imaging technology for liver disease, which enables doctors to see your liver and other organs through your belly. There are so many diseases of the hepatobiliary system that we can diagnose, such as: hepatitis, fatty liver, cirrhosis, hepatic vascular malformations, liver tumors and parasitic diseases, etc., and we can check the entire hepatobiliary system for only$80. However, we report the results in the language of doctors in order to give them a basis for diagnosis. As a result, you often don’t understand them, and sometimes there is even a little misunderstanding. Don’t let “diffuse liver injury” scare you The most common phrase we use when examining your liver is “diffuse liver injury”. We think it’s normal to say that. However, we have heard that many patients are frightened by this phrase. They think: the disease in the liver is “diffuse”, so they must be very sick! In fact, this is not what we mean. Viral hepatitis, fatty liver, liver fibrosis are all diffuse lesions of the liver because they are relatively uniformly distributed throughout the liver; whereas hepatic hemangiomas, hepatic cysts, and hepatocellular carcinoma are localized occupational lesions of the liver. When we told the doctors that your liver was “diffuse liver injury”, we meant to tell them that you did not have a tumor, which was meant to be reassuring, but instead caused a misunderstanding. This “diffuse liver injury” does not indicate the severity of the disease. As long as the liver as a whole has the basic consistent changes, we say that it is “diffuse liver injury”, and even some of the older middle-aged and elderly people, the liver is slightly rougher internally, and the reflection of the light spots in our “eyes” will be stronger, and we also say that he has a “diffuse liver injury”. “Diffuse Liver Injury”. Many people with “diffuse liver injury” actually have normal liver function and do not need treatment. Therefore, don’t be scared by what we call “diffuse liver injury”. Whether liver disease is serious or not can only be determined by many indicators including liver function and other indicators combined with the clinical condition. Cholecystitis in chronic hepatitis is not “inflammation” There is an idiom that says “lips and teeth depend on each other, liver and gallbladder are alike”. Diseases of the liver often affect the gallbladder. Nine times out of ten, the gallbladder of your hepatitis patient will look less normal to us on ultrasound, and the more severe the liver disease, the more common and obvious the gallbladder changes will be. The gallbladder is most often enlarged, wall thickened, and hairy, and others show edema. We always report these signs to our doctors as “cholecystitis”. However, we do not expect you to take this change as a bacterial infection caused by cholecystitis, and go to the treatment with antibacterial drugs. In fact, hepatitis patients with this ultrasound diagnosis of cholecystitis is usually asymptomatic, no obstructive jaundice, white blood cells are not high, belonging to the viral non-specific cholecystitis. Once the liver disease improves, this “cholecystitis” will also be reduced, you do not need for us to say “cholecystitis” everywhere to seek medical treatment. You don’t need to go to the doctor for what we call “cholecystitis”. You should pay attention to your diet and work routine, and stop smoking, drinking and eating spicy and greasy food, all of which will help to alleviate cholecystitis. Don’t place too much importance on the size of the liver Hepatitis patients are very concerned about the size of the liver when they read the report we give to the doctor, and some of them record the measurements of the liver every time for comparison. We are very happy that you value our results so much. However, you should know that different times, different doctors, different measurement sites, and the direction of our ultrasound probe have an effect on these measurements, and a difference of 1 to 2 centimeters is common, so you should not place too much importance on the size of the liver suggested by the ultrasound. In addition, the gradual shrinkage of an enlarged liver is sometimes a sign of improvement in liver inflammation, but sometimes the opposite is true. Because in cirrhosis, the liver also shrinks in size. Therefore, the enlargement and shrinkage of the liver are relative and need to be combined with other tests and clinical symptoms to determine whether it is a sign of remission or exacerbation of liver disease. Don’t take hemangioma and liver cysts as liver cancer Nowadays, the application of our ultrasound has become more and more widespread, and more and more asymptomatic congenital liver cysts and hemangiomas are being detected. Especially you hepatitis patients, because you often do ultrasound, found the most. This often causes you to panic. Because you know that hepatitis can often lead to liver cancer, you are very sensitive to the slightest occupying lesion seen in the liver. If it’s a liver cyst, you don’t have to be afraid because most cysts are congenital. “Hepatic hemangiomas are not malignant tumors, most of them are cavernous hemangiomas, which are the most common benign tumors of the liver, and they can occur at any age, and many people are found to have hemangiomas during their physical examinations. The development of hemangioma is very slow, small hemangioma can be asymptomatic, most of them are found by our ultrasound during physical examination. Generally speaking, small liver cysts and hemangiomas don’t have much effect on human health, you don’t need to be nervous and need not to deal with them, only larger liver cysts and hemangiomas need surgical or interventional treatment. Therefore, when hepatitis patients look at the results of our ultrasound, never go to interpret the ultrasound report according to the literal meaning by yourselves, but go to ask the doctor for more advice, a few words from the doctor will reduce a great mental burden for the liver patients, and keep the mood happy is also a matter that liver patients need to pay attention to.