I am diagnosed with focal fatty sparing. How to treat it?

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I have gone through the reports that you have uploaded (attachment removed to protect patient identity).

The report mentions as focal fat sparing. Usually, this is done specifically to identify liver lesions, which have been picked up in ultrasound or uncommonly in another CT (computed tomography) scan, which was not a triple-phase.

Focal fat sparing in the liver does not need any further evaluation (if confirmed on triple-phase CT or multiphase MRI) or follow up since it is a benign condition and a variant of normal.

There was no mention of how this was identified in the first instance and any symptoms that you had. It would be advisable to retain a copy of the report and films or a soft copy of the CT report for future reference.

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Fatty liver with or without focal fat sparing does not cause much symptoms. Fatty liver is not exactly a benign condition because in the long term, fatty liver can lead to cirrhosis (over the course of many years). The best way is to improve the condition by life style management.

One does not have to be a vegetarian, but have a healthy lifestyle, weight control, exercise, restricting alcohol, and adequately controlling diabetes (if you are diabetic) is all that is needed.

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As I said, fatty liver does not cause symptoms. You would need to regularly follow up with a gastroenterologist (ideally every six months).

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Fatty liver does not have associated fever. In case you are having on and off fever, it is better to have it evaluated. Fibroscan is an ideal option when one has a fatty liver to look at the liver's grade of stiffness (fibrosis).

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The fibroscan value is not bad (minimal fibrosis). Diet is mainly low fat. Avoid fried and greasy food. You do not have to be a vegetarian. You can have non-vegetarian too. There is no recommendation anywhere for fluid diet, bland diet, or vegetarian diet in fatty liver.

Exercise 30-45 minutes daily at least five to six days a week. Brisk walking is adequate, though if interested, may attend gym two to three times a week. Black coffee with minimum sugar one to two cups a day has shown to be beneficial in fatty liver and liver fibrosis.