Hello fellow patients! We, B-mode ultrasound (ultrasound for short), are a good friend to you hepatitis patients. Because we bring you the most commonly used, practical, economical and non-invasive imaging technology for liver disease, we enable doctors to see your liver and other organs through your belly. We can diagnose many diseases of the hepatobiliary system, such as: hepatitis, fatty liver, cirrhosis, hepatic vascular malformations, liver tumors and parasitic diseases, etc. We can check the whole hepatobiliary system for only $80. However, we report the results in the language of the doctor, in order to provide the doctor with a basis for diagnosis. Therefore, you often can’t understand it, 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 it must be very sick! Actually, that’s not what we mean. Viral hepatitis, fatty liver, and liver fibrosis are all diffuse liver lesions because they are relatively uniformly distributed throughout the liver, while hepatic hemangiomas, liver cysts, and liver cancer are localized occupying lesions in the liver. We reported to the doctor that your liver is “diffuse liver injury”, meaning that we told the doctor that you do not have a tumor, which was intended to comfort you, but instead caused misunderstanding. This “diffuse liver damage” does not indicate the severity of the disease. As long as the liver as a whole has basically the same changes, we say that it is “diffuse liver injury”, even some older middle-aged and elderly people, the liver is a little rougher inside, in our “eye” the reflection of the light point will be stronger, we also say that he has “Diffuse liver injury”. Many people with “diffuse liver damage” actually have normal liver function and do not need treatment. Therefore, you should not be frightened by what we call “diffuse liver damage”. The severity of liver disease can only be determined by looking at many indicators, including liver function and other clinical factors. There is an idiom that says, “The lips and teeth depend on each other, and the liver and gallbladder depend on each other”. When the liver is sick, it often affects the gallbladder. The more severe the liver disease, the more common and obvious the gallbladder changes are. Gallbladder enlargement, wall thickening, and grossness are most common, and some show edema. For these manifestations, we always report “cholecystitis” to the doctor. But I never thought that you would treat this change as a bacterial infection causing cholecystitis and treat it with antibacterial drugs. In fact, this ultrasound diagnosis of cholecystitis in hepatitis patients is often clinically asymptomatic, without the manifestation of obstructive jaundice, and the white blood cells are not high, which is a viral non-specific cholecystitis. Once the liver disease improves, this “cholecystitis” will also be reduced, you do not need to seek medical help for what we call “cholecystitis” everywhere. The actual fact is that you will be able to get a lot more than just a few of these. Don’t put too much emphasis on liver size Hepatitis patients are very concerned about the size of their liver when they look at our reports to the doctor, and some of them record the measurements of their liver every time they compare them. 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 orientation of our ultrasound probe have an effect on these measurements, and a difference of 1 to 2 cm is common. You should not put too much emphasis on the size of the liver suggested by the ultrasound. In addition, the gradual shrinking of an enlarged liver is sometimes a sign that the liver inflammation is improving, but sometimes the opposite is true. This is because in cirrhosis, the size of the liver also shrinks. Therefore, the enlargement and shrinkage of the liver are relative and need to be combined with other tests as well as clinical symptoms to determine whether it is a sign of remission or aggravation of liver disease. Don’t take hemangioma and liver cyst as liver cancer Nowadays, the application of our ultrasound is becoming 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, are also found most often. This often causes you to panic. Because you know that hepatitis can often cause liver cancer, you are very sensitive to the slightest occupying lesion seen in the liver. If it is a liver cyst, you do not have to be afraid because most cysts are congenital. “Hepatic hemangioma” is not a malignant tumor, it is mostly a spongy hemangioma, the most common benign tumor of the liver, which can occur at any age, and many people are found to have hemangiomas during medical examinations. The development of hemangioma is very slow and small hemangiomas can be asymptomatic and most of them are detected by our ultrasound during physical examination. Generally speaking, small liver cysts and hemangiomas do not affect human health much and you do not need to be nervous or deal with them. Only larger liver cysts and hemangiomas need surgical or interventional treatment. Therefore, when hepatitis patients look at our ultrasound test results, they should never interpret the ultrasound test report according to the literal meaning by themselves, they should go and consult their doctors more often, a few words from their doctors will relieve a lot of mental burden for liver patients, and keeping a happy mood is also a matter that liver patients need to pay attention to.