Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I have recently been diagnosed with a fatty liver/nash and 2 focal nodular hyperplasia tumours in and on my liver. Both of these tumours relate to the left love one of which is on the outside edge and measures 5cm. I suffer with ruq pain and also intermittent chronic pain in my left upper quadrant which occasionally radiates to my left shoulder. My question is could this pain on my left side be a result of the nash and tumours in my left liver lobe ? Many thanks. Shaq.
[|AI|]  Welcome to Chat Doctor ! I have read your question and found that you have a fatty liver with two focal nodular hyperplasia on left lobe. There is recurrent chronic pain in left upper qua Chat Doctor.  From the report you have provided, I can say that your guess is right. The pain in your left shoulder is due to these tumors on the over edge of left lobe +/_ fatty liver. I will try to explain it:- There is a nerve called : Phoenix nerve, (right and left respectively) supplying the diaphragm and giving one Assembly branch to respective shoulder joint. So, whenever the swellings of liver lobe/ or as it is already fatty, irritates the diaphragm (while breathing etc.), there is pain in left EU