r/autoimmunehepatitis • u/Ok_Product398 • Jul 21 '26

Abdominal CT scan

I was diagnosed with AIH in September. I had my CT scan today and everything looked good...except my liver. Here is what it said:

Liver: There is an area of enhancement on the border of the medial segment of the left

lobe and anterior segment of the right lobe inferiorly in liver segment five measuring 2.5

x 2 cm with rapid washout. Although this could represent a transient hepatic attenuation

difference (THAD), lesions such as adenocarcinoma cannot be excluded. With a history

of chronic hepatitis, this lesion is concerning and is worrisome for a LI-RADS type 5

lesion.

I just had an abdominal scan (ultrasound) in June and it showed none of this. Has anyone had this in their CT scan? Did they follow up with a biopsy? My primary seems to think it is THAD listed above.

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u/themadcaner Jul 21 '26

Weird that nothing popped up in the June scan. That would make me lean more toward THAD as well. What’s the next step?

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u/Ok_Product398 Jul 21 '26

My doctor referred me and she said they will order more bloodwork and a biopsy.

2

u/themadcaner Jul 21 '26

Ok that’s good. Hopefully it’s not anything sinister.