Conversation: The conversation between human and AI assistant.
[|Human|] YESTERDAY, I WENT TO THE ER,WITH SEVERE PAIN.I HAD AN ULTRA SOUND DONE.  CAME BACK NORMAL. NEXT I HAD A CT SCAN.  THEY FOUND A LARGE MASS ON MY LIVER.  DR. TOLD ME IT WAS CAUSED BY BIRTHCONTROL.  I HAD THE MIRENA IUD 1ST 5YRS, 2ND ONE I YR. I AM IN SO MUCH PAIN
[|AI|]  Hi thanks for contacting Chat Doctor... Noted in CT scan large liver mass present... It is right that hormones can affect liver and can lead hepatitis like condition... But as large mass discovered ....it has to be investigated.... Mostly triple phase CT or MRI with AFP estimation able to rule out malignancy.... But if you need detailed evaluation then USG or CT guided biopsy or FNAC done.... According to cause treatment given... If it is non-malignant bacterial infection then antibiotic given....Meanwhile, low fat diet taken... Fruits more. For fever take paracetamol.... If needed then per spectrum and detail gynecological work up also done..... For liver mass keeping this in mind consult gastroenterologist..... Hope my suggestion will be helpful... Take care. Chat Doctor.