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What Does The Following Ultrasound Report Indicate?

Posted on Wed, 15 Apr 2015

Question: DEAR SIR, PLEASE EXPLAIN MEANING-------LIVER NORMAL IN SIZE.PARENCHYMAL ECHOTEXTURE IS DIFFUSELY INCREASED AND HETEROGENOUS. NO FOCAL LESION SEEN. MARGIN APPEAR REGULAR. INTRAHEPATIC BILIARY AARRE NOT DILATED.POTAL VEIN APPEARS NORMAL IN COURSE AND CALIBER(11MM) HEPATIC VEINS APPEAR NORMAL.

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Answered by Dr. Vivek Chail (39 minutes later)

Brief Answer:
Your liver shows fatty changes on ultrasound scan

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Your liver is showing fatty changes. There are many causes of liver showing fatty changes as follows
(i) Increased intake of fatty foods and alcohol
(ii) Over weight and obese patients.
(iii) Those who have fatty liver running in family members.
(iv) Any liver condition that is changing appearance of liver.
(v) Mild fatty liver can also be there in many normal people

2. Rest of the report findings are normal. Intrahepatic biliary radicals and portal vein are normal.

3. Please get liver function tests done like SGPT, SGOT, GGT, Alkaline phosphatase and bilirubin done to know if your liver is functioning properly.

4. You can reduce fat and alcohol intake if you take alcohol regularly. Taking small amount of alcohol in party only is not a problem. Take medicines on time if given by your doctor.

5. If there is family history of obesity and you are over weight then get your lipid profile done to see if the cholesterol level is high. If cholesterol is high then you might have to consult cardiologist for medicine and take a well balanced diet.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (12 hours later)

LIVER PROFILE,SERUM TEST SHOWS

SGOT-----------------30

SGPT------------------28

ALKALINE PHOSPHATASE--------83

GAMMA GLUTAMYL TRANSFERASE-----23

LACTATE DEHYDROGENASE----------169

PROTEIN TOTAL--------------7.9

BILIRUBIN TOTAL----------0.78
BILIRUBIN DIRECT-----------0.16

BILIRUBIN INDIRECT--------0.62

ALBUMIN---------------4.5

GLOBULIN-----------3.4

A.G.RATIO----------1.32

GLUCOSE FASTING-----------92.0
MY LIPID PROFILE CALCULATED SERUM

CHOLESTEROL TOTAL-----------------88.0

TRIGLYCERIDES-------------121.0

CHOLESTEROL HDL,DIRECT---------24.0
CHOLESTEROL LDL,CALCULATED -----39.8

CHOLESTEROL VLDL,CALCULATED ---------24.2

CHOL/HDL RATIO----------3.7

PLEASE ME REPLY ME AS ABOVE MENTIONED TESTS.

Answered by Dr. Vivek Chail (3 hours later)

Brief Answer:
Your reports are normal

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Please find my observations below
LIVER PROFILE

1. SGOT is normal

2 SGPT is normal

3. ALKALINE PHOSPHATASE is normal

4. GAMMA GLUTAMYL TRANSFERASE is normal

5. LACTATE DEHYDROGENASE is normal

6. PROTEIN TOTAL is normal

7. BILIRUBIN TOTAL is normal

8. BILIRUBIN DIRECT is normal

9. BILIRUBIN INDIRECT is normal

10. ALBUMIN is normal

11. GLOBULIN is normal

12. A.G.RATIO is normal

13. GLUCOSE FASTING is normal

LIPID PROFILE

1. CHOLESTEROL TOTAL is normal

2. TRIGLYCERIDES is normal

3. CHOLESTEROL HDL,DIRECT is slightly low but not a concern

4. CHOLESTEROL LDL,CALCULATED is normal

5. CHOLESTEROL VLDL,CALCULATED is normal

6. CHOL/HDL RATIO is normal

In conclusion your reports are normal and there is no serious health risk of any liver or heart problems. Please continue with your healthy diet and lifestyle.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar