Patient's question:
Echogenicity of the liver parenchyma is striated and thickened. Portal vein diameter is 13 mm. Spleen thickness is 42 mm.Doctor's answer:
The hepatic parenchyma shows striated thickening, with a portal vein diameter of 13 mm. The spleen thickness is 42 mm. Now, considering the portal vein width and spleen thickness, it is best to conduct a detailed examination: 1) Liver function tests: These can detect liver cell damage. 2) Quantitative HBV-DNA test for hepatitis B: This test measures the current viral load. 3) If the viral load is normal, test for CCCC DNA to assess the activity of the viral template. 4) Abdominal ultrasound of the liver: The liver parenchyma shows changes, and the spleen is enlarged. The best test to evaluate liver fibrosis is recommended, as patients with liver disease for more than 20 years are prone to liver fibrosis and cirrhosis. Only a comprehensive examination can serve as the foundation for treatment. Therefore, whether it is a combined treatment of traditional Chinese and Western medicine or dietary precautions, a thorough examination is essential.