Conversation: The conversation between human and AI assistant.
[|Human|] HI MY NAME IS ISHTIAQ NABI... AGED 24 YEARS...FEW DAYS BACK I FELT LITTLE ABDOMENON PAIN....DOCTOR ADVISED ME FOR AN ULTRASOUND... MY ULTRASOUND REPORT SAYS....ON REAL TIME B-MODE SONOGRAPHY, LIVER IS NORMAL IN SIZE AND ECHOPATTERN..... AN ILL DEFINED ECHOGENIC SOL MEASURING UPTO 77X51MM SIZE IS SEEN INVOLVING RIGHT LOBE OF LIVER.... IMPRESSION: LIKELY LARGE HEMANGIOMA IN RIGHT LOBE OF LIVER..... PLEASE SUGGEST ME WHAT TO DO IN THIS CASE... HOW CRITICAL IS IT.... HERE I WOULD LIKE TO MENTION I AM NOT FEELING ANY KIND OF PAIN IN MY LIVER AT ALL.....
[|AI|]  Dear IshtiaqAs per your USG, you are having SOL in Liver, which is likely hematoma as per report. I would suggest you to undergo a liver specific (Traffic) CT scan or MRI to be sure about the diagnosis. In case, the diagnosis remains hematoma, then you should understand that there is no medical management for the hematoma. Surgery is indicated only in case of symptoms which may be varied from persistent pain to rupture leading to bleeding, compression of surrounding organs, bleeding inside the tumor (may present as pain, sudden increase in size of tumor or symptoms of bleeding like weakness and fall in Hemoglobin) or fall in platelets. However, you should not assume that any pain in abdomen should not be attributed to hematoma, although you should be vigilant to detect any sudden onset of pain which may be an indication for bleed inside tumor or tumor rupture. Regards Chat Doctor.