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Q. Ultrasound shows fatty infiltration or hepatocellular parenchymal liver disease. What does it mean?

Answered by
Dr. Noushif M
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jun 24, 2020

Hello doctor,

I am 47 years old with a history of alcohol abuse. My ALT is 50 and normal AST. Ultrasound reading said Hyperechoic liver may represent fatty infiltration or hepatocellular parenchymal disease. Is this severe? Would fibrosis be noted in the report?

Dr. Noushif M

General Surgery Medical Gastroenterology Surgical Gastroenterology



To identify fibrosis you need to get a fibroscan (transient elastography). How are your other blood reports? Are you symptomatic now? Please send across details so that further discussion can be done.

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Thank you doctor,

I have no symptoms. My GGT level is 120. No other abnormalities on bloodwork.

Dr. Noushif M

General Surgery Medical Gastroenterology Surgical Gastroenterology


Welcome back to

The change in LFT (liver function test) including GGT (Gamma-glutamyl transferase) is more likely due to liver cell injury from alcohol. You need to be on strict abstinence now from alcohol and liver toxic medicines. Be on a high protein diet with low fat and carbohydrates. Keep yourself well hydrated. You can also try medicines like Ursodeoxycholic acid, Vitamin E, and Thiamine for four weeks.

Get a liver function test repeated after four weeks to assess the response. The current injury is transient and well reversible if further hits are avoided to the liver. No need for fibroscan at this stage.

I hope this helps.

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