Q. Please provide a structured report of the attached abdominal ultrasound.

Answered by
Dr. Ismail Kabakus
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 23, 2020

Please provide a first reading (structured report) of the attached Abdominal Ultrasound. Clinical information: Fatty liver

#

Hi,

Below is my report for upper abdominal US

Liver: Moderate (Grade 2) fatty liver. No focal mass or contour nodularity. No intrahepatic biliary ductal dilatation. Portal Vein: Normal size. Gallbladder: No stones, wall thickening, or pericholecystic fluid. Common Bile Duct: Nondilated measuring 4.4 mm at the level of the porta hepatis. Pancreas: Visualized portions unremarkable. Spleen: Normal in size measuring 7.4 cm. Kidneys: Right and left kidneys measure 10.3 cm and 10.1 cm in length respectively. No hydronephrosis. Right kidney cyst measures 22 x 16 mm. Ascites: None. Aorta: Visualized portions normal in caliber, 20 x 19 mm . IVC: Visualized portions patent.

IMPRESSION: Moderate (Grade 2) fatty liver.


The Probable causes:

Increased Body Mass Index and steroids

Investigations to be done:

Liver function tests (ALT, AST, ALP),

Probable diagnosis:

Moderate (Grade 2) fatty liver.

Treatment plan:

Losing weight may decrease liver fat deposition.

Has liver steatosis worsened since these reports taken three years back.

#

Hi again,

The images you uploaded is T1 weighted fat saturated meaning you already suppressed the fat. We normally look at before fat T1 before fat suppression and after suppression to decide how much fat there is in liver. I am so sorry, I won't be able to decide from those images. Furthermore, it would not be an accurate comparison between ultrasound and mri. Hope this answers you question. One more thing fatty liver is not very rare and personally I would not be that much concerned about the diagnosis. I would still try to lose weight for a healthier life though.


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