Please interpret my USG liver report.

Question

Hello doctor,

Four months before, I was diagnosed with fatty liver, slightly elevated fasting sugar, and a high level of total cholesterol. My current medications are Viboliv 500 tablets daily, two times on a restricted diet, and Nexpro RD. I had consumed spicy foods rarely. In the last four months, I lost 15 pounds.

However, today, I have repeated the same tests, and all the blood tests are normal. But there is something in my USG of the whole abdomen. My USG report of the liver is as follows: The liver is enlarged. The echogenicity is diffusely increased without any focal lesion. The intrahepatic structures are normal, and no focal area of altered echogenicity is noted. The hepatic ports are normal. The common duct at the ports measures 3 mm, and the portal vein measures 10 mm to the porta.

The final impression is hepatomegaly with fatty liver, and this is my recent USG report. My other organs are normal, and I feel pain in the RUQ, and flatulence is present. Also, I tested for FBS, LFT, and lipid profile.

Is it a reversible condition?
Also, please let me know how much time it will take. Will you please guide me about the seriousness of this condition?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query.

Fatty liver disease is also known as NASH (nonalcoholic steatohepatitis), which may progress to NAFLD, which is nonalcoholic fatty liver disease. However, the critical concern lies in determining whether fibrosis or cirrhosis is developing and whether the condition is compensated or uncompensated.

To gain a better understanding, it would be helpful to examine all the test results. Additionally, it is important to know if you have been tested for hepatitis C and hepatitis B. Furthermore, it is relevant to inquire about any history of alcoholism. By evaluating these factors together, a more comprehensive assessment of the situation can be made.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have read your query and can understand your concerns.

Your laboratory report looks fine (attachment removed to protect patient identity).

I suggest you get a fibrous scan or fibrosure that will tell us the degree of the fibrosis, if any. Since the term increased ecogenicity has been vague and could mean the early fibrosis stage 1.

I suggest you get the prothrombin time (PT) and alpha-fetoprotein for screening of hepatic cancer. Also, I would like to rule out hemochromatosis (iron deposition disease), since your lipid profile is too good to believe that you have fatty liver.

As this is an iron deposition disease, I suggest you get the serum ferritin, serum iron, and total iron-binding capacity (TIBC). Please share the results.

I hope this helps.

Please revert in case of further queries.

Thank you.