请411老师及版主帮我看一下我的CT结果，我需要再做MRI吗？

liliya

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再次感谢411老师。
这是我的医疗报告：
Problems：
1。HBeAg negative chronic hepatitis B with elevated liver enzyme tests and HBV DNA level of 30188IU/ml pre-treatment
2.Ultrasound and CT scan sugges liver cirrhosis with regenerative nodule, but no evidence or portal hypertension
Medication:
Entecavir 0.mg daily commenced 19/06/08
most recent blood tests from 18.12.10 shows : Hb 138, WCC 5.4, platelets 111,creatinine 61,bilirubin 13, ALP 44, GGT 28, ALT 21,AST 24, albumin 43, HBs Ag positive, HBV DNA <20 and AFP2.3ug/l
Repeat CT scan on 7.1.11 showed a number of arterial phase perfusion abnormality/lesions,which were similar to that of her previous scan in 2008. The maximal demension of the lesions was about 12mm. None of the lesions had characteristic changes for HCC.
Her hepatitis B is under good control. In view of the radiology one is obviously concerned that she could develop HCC in a cirrhotic liver. I have therefore arranged for her to have an MRI scan to try to characterise the liver lesions further and we can also use as a baseline as clearly she will require repeated liver imaging and sequential MRI's would avoid the risk of radiation. I will get back to lily once I have the result, which is likely to have done when she returns from her trip back to China in five weeks time. She will have her next blood test in three months and formal review after that.

liver411

挺好的，HBV DNA<20/29? IU/ml 大约低于150copies/ml。 他认为是2008看到的类似的影像不正常地方。
他已经帮你预约MRI（主要是放射科顾虑肝硬化容易癌变的建议和缘故）。 之后可能也是MRI因为减少放射线因素。MRI5个星期后妳从国内回来做（时间也比较恰当）。三个月血液检查+再报告。

liliya

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谢谢411老师。

三叠

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411借问一下，欧美医生都是这样能够写报告吗？和国内的陈述方式很不一样，特别是从没有见过报告里用“我认为”、“我建议”等等，国外是不是都是唯一一个医生负责制的？