Clinical case review

A woman with multiple liver lesions

Christopher S Pokorny



A 53-year-old woman with nausea and bloating of two months’ duration has multiple liver lesions detected on abdominal ultrasound. She is a new patient to your practice. How would you approach this situation?

Article Extract

Case scenario 

Felicity is a 53-year-old teacher whose usual GP has recently retired. When she was last seen three weeks ago, she was experiencing nausea and bloating, which had persisted for two months. Physical examination was documented as normal and an upper abdominal ultrasound scan was requested. Her ultrasound demonstrates multiple solid liver lesions. 

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Model used for illustrative purposes only