GI Imaging - Hepatic Steatosis and Cirrhosis 

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Could you please tell me what is diffuse coarse echo texture with irregular margins.liver is normal .no obvious focal lesion seen.No interahepatic biliary duct dilation.portal vein is normal in caliber and shows hepatopetal flow .Gall bladder is moderately distended .No e/o calculi or sludge seen in visualized lumen.GB wall is normal.CBD not dilated.and spleen is normal .please do reply🙏

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@@vpasha11 i’m no doctor but from my limited knowledge it can indicate mild cholecystitis and mild scarring (cirrhosis) of liver.

@@herusaleron6793 thanks but my GB is normal

Most welcome

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It simply means accumulation of fat upon your liver Avoid a fatty diet and do simple exercises, Yeah That's it

@@gauravdadhich2499 but the report says the patient is suffering from grade-II fatty liver which is an irreversible health condition 🤔

@@m4mike250 look condition is not irreversible if you follow some strict guidelines for your daily routine, it is just that you need to be disciplined no matter what's going on :) And believe me, there is a possibility that fat percentage doesn't decrease but you will surely feel the difference and one most important thing (I'm just telling neither I am a doctor nor you...don't be anxious after reading this out) is that your fat accumulation may increases if you don't follow certain daily routines...and that may lead to cirrhosis which is a serious liver problem and that is surely irreversible ...do you want to face cirrhosis? Of course not, right? then start following a daily routine not be attract beauty near you, but to remain fit through out your life I am waiting for the reply when you will say it helped for me .....I wish you'll be fine

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This is a good primary source. It focuses on quantitive imaging, but the intro has references to non-quantitative articles. Han, Aiguo, et al. "Assessment of hepatic steatosis in nonalcoholic fatty liver disease by using quantitative US." Radiology 295.1 (2020): 106-113.

That is an good point. I find that volume distribution is more difficult to assess on US than CT or MR, but that is not to say it cannot be done, and it is certainly relevant to any discussion on cirrhosis

That means it has a normal appearance on the Ultrasound. Echogenicity refers to how bright something is on the US image

Well bright would be related to the echogenicity. If your report didn’t mention course for texture, nodular appearance in the border or commonly dx with cirrhosis then no. Enlarged and bright livers indicates fatty liver

of course not, just avoid fatty diet.

@@kamakhyabiswas1175 Thanks, I avoided fatty diet from day1 since I got the report about fat being accumulated on my liver

Gaurav sir are u fine now? Have you tested again?

@@ARMINK6969 NO I haven't done any formal ultrasound yet but yes I'm fine now, Doctor prescribed me LIV 52 that is an ayurvedic medicine and by god grace it worked for me

Echogenicity is how bright or dark a structure appears on US. The liver will become more echogenic as it becomes steatotic. Echotexture is how uniform the liver appears. The liver could be bright or echogenic without being coarse, and could be course without being bright (echogenic). The brightness or echogenicity reflects the amount of fat. The coarseness reflects the degree of fibrosis.

@@RadiologyEducation Thank you so much😇

Thank u very much