Conversation: The conversation between human and AI assistant.
[|Human|] Hi my name is maria I recently was in Jefferson hospital in philadelphia n was told I had a liver n kinney mas my biopsy was inconclusive n want to take more biopsy from me. I do have budd carie n was given a shunt in 1997. Since then I feel great my question is could they be mistaken my liver disease with a mass also id like to find a more experienced dr. In philadelphia who is experienced wit my disorder n cancer. Can u pls help? Im sorry to waste your time. I wasn t aware of there was a fee that I regret to say I cant pay at this time. I am overwhelmed with medical bills along all the medical problems going on in my depressed state of mind.. thank you for your precious time.
[|AI|]  Hi, Thanks for writing in. Budd Chiara is a condition in which there is thrombosis of veins in the liver. There are 3 forms of the condition such as acute, chronic and fulminant form. As you are doing well after 15 years following shunt, it is likely to be a chronic form. Chronic form is the most common presentation and approximately 50% of patients also have renal impairment. Bud Chiara can rarely be associated with a renal tumor and this might be happening in your case. In most patients with a kidney tumor, doing a surgery with removal of the affected kidney helps. It is possible that the liver and kidney findings in you are associated with Bud Chiara. Please do not worry.