HomeAnswersRadiologyultrasoundI am worried about my ultrasound results. Please help.

What does increased echogenicity in liver with coarse echotexture in abdominal ultrasound mean?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At July 8, 2019
Reviewed AtJanuary 2, 2024

Patient's Query

Hi doctor,

I had an upper abdominal ultrasound. Report stated very suboptimal scan, bowel gas shadowing and patient habits and subcostal position of organs. Visualized sections of liver are increased in echogenicity and a coarse echotexture. Portal vein demonstrates hepatopetal flow. Liver enlarged 18.6 cm. Both kidneys, aorta and spleen are satisfactory. I am very worried. Can you give a second opinion? I have scan images too.

Hi,

Welcome to icliniq.com.

Your ultrasound does show hepatomegaly with fatty infiltration. No focal abnormality can be seen in the images provided (attachment removed to protect patient identity). However, ultrasound has its limitation and is not able to see through the bowel gases and fat depth which is why your radiologist has mentioned to avoid over diagnosis. If clinically indicated, they would recommend you a CT scan or MRI.

Patient's Query

Thank you doctor,

From looking at the images, would you say fatty liver is suggested? Could it be worse? Also, does the fact that the liver is enlarged suggest situation is worse?

Hi,

Welcome back to icliniq.com.

The fatty liver can be controlled by dietary precautions and avoiding high calorie fatty food. The situation is reversible. Please do not worry much.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chitrangada Jitendra
Dr. Chitrangada Jitendra

Radiology

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