Get E-Book on COVID-19

Q. I have a diffusely increased echogenicity of the liver with chronic hepatocellular disease. Why?

Answered by
Dr. Sugreev Singh
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Oct 26, 2020 and last reviewed on: Nov 03, 2020

Hi doctor,

I received the following results from an ultrsound: Diffusely increased echogenicity of the liver consistent with chronic hepatocellular disease. The presence of focal sparing in the gallbladder fossa indicates that this is at least in part related to fatty infiltration. When I searched it in internet hepatocellular disease HCC always comes up. Is hepatocellular disease a general term for liver damage or does this phrase typically point to carcinoma?



Welcome to

Thank you for writing, and I understand your concern.

Still, it is not confirmed that it is cancerous or not, so do not worry. Yeah, there are changes in liver tissue which can be suspected as liver cirrhosis or fatty liver disease. And to specifically say about it, your doctor will do a biopsy, most probably, to confirm the diagnosis.

In USG (Ultrasonography), it shows that the liver's tissue has changed its color a bit.

So further testing is required. And the best one is the biopsy.

These are common in alcoholic people and less common in a nonalcoholic.

  • Can you please tell me did you consume alcohol in the past? If yes, then how much?
  • What symptoms do you have currently?
  • Since when do you have these symptoms?
  • Did anyone in your family have or had liver disease?

Please answer so I can help you accordingly.

Thank you.

Hi doctor,

Thank you for the reply.

I do not drink very much at all. Maybe two beers a month. My maternal grandmother died of liver cancer. She is the only one that I am aware of that had liver issues. My Ferritin level is 1,075, and my doctor asked about hemochromatosis in my family, to which I am unaware, regarding symptoms. I have a lack of sex drive and a lack of energy. I would have a lack of energy for quite some time, but I always attributed that to my thyroid.

Please let me know if I can clarify anything further.



Welcome back to

It is good that you do not have symptoms related to the liver so far. And early diagnosis helps in treatment and prognosis as well. It looks like a fatty liver disease that is not in a severe state. It can be controlled. So I would suggest you do a further investigation such as a liver function test and biopsy and then treat it appropriately. And please avoid alcohol. And consume less fast food, less oily food and do eat more salads and drink the juice. All these things will keep you healthy. If anything else, please let me know.

Thank you.

Was this answer helpful?


Related Questions:
Can enlarged spleen and liver affect my pregnancy?

My USG report says that I have an enlarged spleen and liver ... Please help me and tell me if I can try to conceive with enlarged spleen and liver ...   Read full

What is the remedy for enlarged liver and prostatomegaly?

Hello doctor, My liver is borderline enlarged 155 mm with increased echotexture ... Thank you doctor, Can you suggest any medicine for fatty and enlarged liver ...   Read full

My daughter has high SGPT. Is it due to liver damage?

.. is getting all the medication required for TB (tuberculosis). The medication does have some side effects like the liver enzymes SGPT (serum glutamic-pyruvic transaminase) and SGOT (serum glutamic-oxaloacetic transaminase), which were done was rais...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

I want to know whether my liver is in bad condition.

Query: Hi doctor, I am a 33 year old male. My body weight is 64.5 kg and height is 5'3". My USG report shows that the liver is mildly enlarged in size (liver span is 123 mm), but has normal shape and outline. There is a mild diffuse homogenous increase of hepatic parenchymal echogenicity suggesting mild f...  Read Full »

I have high cholesterol with palmar erythema. Does it indicate liver damage?

Query: Hello doctor, I was diagnosed with palmer erythema last year. I am 28 years old, however, I started drinking moderately from 16-20 then stayed sober for a year and a half. However started drinking again at 22 and have been more of a binge drinker consuming on average of 20-50 drinks a week over t...  Read Full »

What is the reason for abdomen pain and poor appetite?

Query: Hello doctor, I am an unmarried 35-year-old male. It all started last month when I experienced mid-epigastric pain one fine morning. I took some pain relievers and got rid of that. Then, after almost a week, I got lower back pain on the right side suddenly one morning, then, upper back pain middle ...  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As content published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.