Do echogenic lesions in the liver indicate liver cancer?

Hello doctor,

I have echogenic lesions in my liver which were discovered in an ultrasound. The doctor is recommending doing a follow-up MRI to characterize the lesions better. The largest one is 1.9 x 1.5 x 1.9 cm. No intrahepatic ductal enlargement. My CBC also showed a high MCHC count and low MPV. My bilirubin level is also slightly high. I am concerned this could be cancer of the liver. I have been tested for all other types of liver diseases, such as hepatitis, and all of those results were negative. My other symptoms include feeling full, even after eating very little, difficulty digesting foods, and constantly feeling bloated. I also have chronic fatigue and pain on my right side. I am also unable to lose weight despite eating less and exercising. I do not drink or smoke and eat a healthy vegetarian diet.

Kindly help.

Thank you.

Hello doctor,

Thank you for your reply.

I do not want to get a CT scan because of the amount of radiation. They recommended getting an MRI. Regarding acid peptic disease, I am trying to figure out where my blood results fit. Based on what I researched, they indicate anemia or liver disease. I am also concerned about that, as I already have a B12 absorption issue due to the MTHFR gene mutation. The anemia that I am concerned about is called autoimmune hemolytic anemia. Is this a possibility?

Thank you.