Q. What does coarsened echotexture and increased echogenicity in liver ultrasound indicate?

Answered by
Dr. Klerida Shehu
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Apr 04, 2019

Hello doctor,

I had discomfort recently in my right upper rear torso. I recently had an ultrasound and a CAT scan. The results covered a variety of body parts. But I am interested in speaking to a liver specialist regarding what the results said about my liver. I would like a doctor to explain to me what these results mean.

My recent ultrasound showed: Measures 12 cm. Liver shows coarsened echotexture and increased echogenicity. No liver masses identified. CAT scan showed: Liver: Diffuse hepatic steatosis. Indeterminant subcapsular posterior right hepatic lobe 13 x 9 mm hypoattenuation segment 7.

Dr. Klerida Shehu

Medical Gastroenterology


Welcome to icliniq.com.

I read your US reports and I can say that:

1. You have fatty liver disease (steatosis).

2. With regards to second ultrasound indeterminant subcapsular posterior right hepatic lobe, 13x9 mm hypoattenuation means that ultrasound cannot identify the reason. Often it is related with no fatty tissues at this part of the liver. Otherwise, if I were your treating doctor I would suggest doing MRI of liver to better evaluate the parenchyma of the liver.

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