Hello Thanks for writing to HCM Borderline hepatomegaly with fatty change is due to deposition of fat within the liver cells.It is a reversible condition.It is important to know lipid profile. You need proper clinical examination and investigations. Investigations include routine hemogram,RBS(Random blood sugar),Lipid profile,Renal function test,Liver function test,Viral markers,Ultrasound of abdomen.Further investigations can be done if needed. Proper treatment depend upon clinical findings and investigation reports. You should increase your physical activity and avoid fatty food. Avoid red meat and high fat milk products. Hope i have answered your query. Take Care Dr.Indu Bhushan