Any doctors around? How fucked am I?

[Metabolicallycomplicated]

I had an MRI on my liver due to some lesions found on a totally unrelated ultrasound. They suspected NAFLD given my weight etc but instead They’ve found something more worrying, but the GP I spoke to couldn’t give me a straight answer as to what the MRI report means. Is this most likely benign or most likely not? GP treated me like I was going to crumble but I’m a very pragmatic person, I just need to understand what I’m looking at here.

Im 33, I have a 2 year old DS and I just need to know how worried I need to be here instead of waiting another few weeks for the next MRI and results from that. If I’ve got liver cancer I know how bad that is and I need to start getting ducks lined up and quacking sooner rather than later.

So if you’re a doctor/ medical and you read the below report, what would you be thinking? You can be honest, I’m completely aware no one can diagnose me from the below, I just need probabilities and ballparks.

OP I’m sorry to hear you’re going through this. I’m another one diagnosed with endometrial hyperplasia & they’ve done two biopsies now & thankfully both were clear. Hopefully yours will be too. But the the hyperplasia started when I was being treated for stage 4 bowel cancer & I DO have lesions on my liver. What a life! My liver lesions were found after my colonoscopy & prior to that I had an ultrasound that mentioned liver lesions but they didn’t seem concerned. Anyway I am familiar with the world of scans, appointments & all the waiting so hope you get some clarity soon!

Yes! Other than the bone deep tiredness the thing that’s really bothered me is feeling absolutely freezing all the time.

I have had a few US and MRIs and they often do report some ‘things’ and the main thing is that you are being followed up asap. Most of the time this does not mean anything serious, but the wait is horrible.

You have a few things going for you, which are:
no symptoms that are related or worrying.
I presume that you had bloods? That also should be reassuring.
Liver’s are really remarkable organs and can regenerate.
All your other organs looked good, and sometimes something serious in one organ does affect the others.
I don’t pretend to understand the report you’ve been given, but there doesn’t seem to be anything really large.

So, crossed fingers for you and hope it all turns out okay.

As someone who has had endometrial cancer and suspicious lesions were found in one of my bones, I can understand that is a pretty scary thing to be told. I freaked out about the suspicious lesions but I found out after that it just means they don't know what they are until they have had a proper look. In my case, they were some kind of benign thing that I'd been born with. I really hope you get some answers soon OP.

Like the others it could be something or nothing.
The next test will give more info
Thinking positively lots of things are pointing to it being ok.
Guessing you do t have jaundice or abnormal bloods

God you poor thing. I’m so sorry you’re going through all that.

The waiting is the worst thing - the absence of a plan is what I’m struggling with. I’m the sole earner in my household and have a little DS so think I’d feel so much better if I knew what was going on so I could at least get a head start on figuring out how to make sure DH and DS are ok. Like if I need to be off sick for a while we literally can’t afford to live so I could do with knowing sooner rather than later so I can get stuff figured out. I know that’s mad, but I have responsibilities I can’t just drop if I get sick all of a sudden.

The first thing I thought about when the GP spoke to me today is how the fuck do I fix the finances so DH and DS can keep the house. Mental what your brain does.

Nope, liver function tests and all bloods except iron levels are totally normal.

I had similar whilst having an unrelated cancer - lesions on the liver. Turned out to be benign tumours. They're just going to scan me annually to keep an eye.

My cancer nurse said in 95% of cases liver lesions are nothing to worry about, it's just something that gets picked up on scans now and again and of course they always investigate but mostly turns out to be nothing.

Agreed. I hope so and wish you all the best!

Oh I do feel for you @Metabolicallycomplicated, if you feel up to it do keep us updated. I really hope it all turns out ok for you. One thing I have found & many others told me is that the waiting is the worst bit & once you know what you’re dealing with it’s easier to cope. You sound very pragmatic & not afraid to confront things which is brilliant. But I agree that your mind goes to funny places & it’s hard not to leap ahead.

The differential diagnoses are there.

They need to bring you back to get more information to assess which of those it is.

Good luck op.
Hopefully it’ll be all ok.

Just wanted to say you sound very measured in difficult circumstances @Metabolicallycomplicated
Wishing you good results in your next scan.

In the report it says liver metastasis as a potential diagnosis (alongside benign tumours).

Metastases is where cancer starts in one part of the body and spreads to the liver.

So you could have primary cancer of one sort and metastases of the liver.

@Showmethemoneyyy well, the differential diagnoses are listed on the scan. The chance of the OP having two unrelated cancers at the same time is extraordinarily unlikely-which is what I said. There's also very little chance of the OP having metastatic liver cancer at all with no secondary symptoms and normal LFTs-which I also said. The OP specifically asked for medical professionals to comment. I wouldn't imagine that she would find it very helpful for everyone to say "no way of knowing, see your GP". This of course is true, but the OP was actively soliciting comments. I'm sorry if I caused offence but there's really no need to be so aggressive.

Suspicious multiple lesions ? metastasis

Some of these responses are brutal. I went through something similar, all tests pointing to something sinister but luckily a red herring. You’re only 32. Chances of something sinister is extremely low. Keep up updated

Hope it’s all ok OP ❤️

Honestly don’t worry about brutal responses I’m a big girl and have very large big girl pants to hoik up if needed.

Ive found hearing all thoughts useful and it’s (weirdly, I know) calmed me right down, so thanks all

Your post was pretty ambiguous in that case. If you intended to say that cancer was unlikely, why say "so sorry OP"? You may be back tracking now but either you intended to scare the shit out of OP or your post was incredibly badly written.

I mean you said "it's far more likely you have secondary liver cancer, so sorry".

That does not mean, or say, that cancer is unlikely!

Luckily the OP is better informed than you are - hope you're not actually a medic.

Please, at least admit you were wrong and get your post deleted.

Given your age it’s highly unlikely it’s anything sinister. Plus you’d feel unwell. Especially 6 months after initial scan. Our bodies have a way of deceiving us. Mine went on for 2yrs, bone marrow testing, numerous blood tests, scans etc. by the end of it the oncologist said, we don’t know what’s wrong with you but it’s not going to kill you 😆

I am sorry you are going through all this worry. I would be ringing tomorrow to check they have the right notes to the right person given you don't have a gallbladder. It's All very well saying standard comment they've forgotten to delete but that just isn't good enough. Whether these are your notes or not.

I have had to complain several times and ask for my notes to be changed as they have written the completely wrong body part. The receptionist blithely said oh we send out for typing and lots of mistakes are happening.

Multiple lesions does not mean cancer. I have multiple liver lesions, all of which are benign. I have also had cancer separately in the past.

Moderately hyperintense on the T2 implies more cystic and fluid filled lesions. They need to do the MRI to rule out anything bad though as could also be metastatic, but my hunch from these results alone would be not.

Medical but not a radiologist.
i read that report as ‘I can see some areas that are different in density but can’t tell more from this scan’ ( ie might be something or nothing, especially given your gallbladder/stones history).
I would not panic and have the rest of the imaging, that should give more definitive information.
keep strong, distract yourself with nice things and good luck