肝膽腸胃科患者發現新發現小科肝結節，是否為增生？-肝膽腸胃科

複檢肝血管瘤但是有新發現小科的肝結節？

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原本7月在台中榮總做超音波有發現2.3CM的結節，8月有做CT檢查是2.3CM的結節但是當時的醫師是初判血管瘤，後來11月初的時候有回去複檢做超音波後醫生是說本來的2.3CM的結節沒有變大，醫生也只有說半年後再回來追蹤也沒有說他是良性或是惡性，但是後面看健保存摺的報告有新發現小顆的結節大約0.67MM

請問醫師，這個結節會是增生的還是什麼呢?
我沒有B/C肝
CA-199:4.72
癌胚胎抗原檢驗:＜1.73
胎兒蛋白檢驗:3.28
超音波的報告是這個
【Liver】 Liver surface: Smooth Liver edge: Sharp Parenchyma : Mildly coarse Echogenicity: Normal Focal lesion(s): No ◆ Lesion 1 Size: 5.2 mm Location: Right lobe S7 Note: cyst ◆ Lesion 2 Size: 5.7 mm Location: S6 ◆ Lesion 3 Size: 22.2 mm Location: Right lobe S6 Note: r/o hemangioma Portal vein diameter: mm; Normal 【Gallbaldder ＆ biliary tracts】 GB visualized Size: Normal Wall: Normal Murphy’s sign: No Peri-cholecystic fluid: No Abnormal GB contents: Yes Stone: Single Size: 3.3 mm Hyperechoic CBD: Normal caliber IHDs: Normal caliber 【Pancreas】 Pancreas is seen Echo pattern: Normal Size: Normal Pancreatic duct: Normal Focal lesion(s): No Splenic vein diameter: Normal 【Kidneys】 Right kidney is not seen Left kidney is seen Size: Normal Parenchyma: Normal Focal lesion: No Evidence of obstruction: No 【Spleen】 Spleen is seen Spleen size: Normal Focal lesion: No ■ Ultrasonographic diagnosis: 1. A heterogenous nodular lesion over S6, about 22.2mm, r/o hemangioma. (Relative stable in size compared with 2024.08.07 abd CT) 2. S6 a newly small hyperechoic nodule over S6, about 6.4mm(Img: 22) 3. A hepatic cyst over S7 4. GB stone 5. Rt kidney atrophy

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楊，30~39歲男性，詢問日期：2024/11/29