Your Ultrasound Report: Insights on Fatty Liver Diagnosis - Gastroenterology and Hepatology

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Examination report issues?


Hello Doctor, I had an abdominal ultrasound last month, and the doctor mentioned that everything was normal at the time.
However, after checking the National Health Insurance app, it indicated fatty liver.
The report is as follows:
Sonar Findings:
- Liver size: normal
- Echo pattern: abnormal, mildly increased brightness of the liver
- IHD size: negative
- MBD size: negative
- GB: negative
- PV system: negative
- Pancreas: masked by air
- Spleen: negative
- Kidney R’t: negative
- Kidney L’t: negative
- Ascites: No
Sonar Diagnosis: Fatty liver, mild
Advise or comment: follow up every 6 months.
I would like to ask the doctor if there are any abnormalities in the report.

Huang, 20~29 year old female. Ask Date: 2022/03/01

Dr. Chen Shidian reply Gastroenterology and Hepatology


For mild fatty liver, if overweight, implement a diet and weight loss plan.

Reply Date: 2022/03/01

More Info


Based on your ultrasound report, it indicates that you have been diagnosed with mild fatty liver, which is characterized by an abnormal echo pattern with mildly increased brightness of the liver. This finding suggests that there is an accumulation of fat in the liver cells, which is a common condition known as hepatic steatosis or fatty liver disease.

Understanding Fatty Liver Disease
Fatty liver disease can be classified into two main types: alcoholic and non-alcoholic fatty liver disease (NAFLD). The latter is more prevalent and is often associated with obesity, insulin resistance, and metabolic syndrome. In your case, since the report indicates mild fatty liver and no other significant abnormalities, it is essential to consider lifestyle factors that may contribute to this condition.


Interpretation of Ultrasound Findings
1. Liver Size and Echo Pattern: Your report states that the liver size is normal, which is a positive sign. However, the abnormal echo pattern with increased brightness is indicative of fat accumulation. The degree of brightness can help classify the severity of fatty liver:
- Mild Fatty Liver: Fatty changes in less than 33% of liver cells.

- Moderate Fatty Liver: Fatty changes in 33% to 66% of liver cells.

- Severe Fatty Liver: Fatty changes in more than 66% of liver cells.

Since your report specifies "mild," it suggests that the fat accumulation is not extensive at this stage.

2. Other Organs: The report mentions that other organs, such as the gallbladder, pancreas, spleen, and kidneys, are negative for abnormalities. This is reassuring as it indicates that there are no immediate concerns regarding these organs.

3. Follow-Up Recommendations: The recommendation for follow-up every six months is standard practice for monitoring mild fatty liver. This allows your healthcare provider to track any changes in your liver condition over time.


Lifestyle Modifications
To manage and potentially reverse mild fatty liver, consider the following lifestyle modifications:
- Weight Management: If you are overweight, losing even a small percentage of your body weight can significantly improve liver health. Aim for a gradual weight loss of 1-2 pounds per week through a combination of diet and exercise.


- Dietary Changes: Adopt a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats, trans fats, and refined carbohydrates. Reducing sugar intake, particularly from sugary beverages and snacks, is also beneficial.

- Regular Exercise: Engage in regular physical activity, aiming for at least 150 minutes of moderate-intensity aerobic exercise each week. This can help improve insulin sensitivity and reduce liver fat.

- Avoid Alcohol: If you have fatty liver, it is advisable to limit or avoid alcohol consumption, as it can exacerbate liver damage.

- Monitor Blood Sugar and Lipids: Regularly check your blood sugar levels and lipid profile, as fatty liver is often associated with metabolic syndrome. Keeping these parameters in check can help manage your liver health.


Conclusion
In summary, your ultrasound report indicates mild fatty liver, which is a manageable condition with appropriate lifestyle changes. Regular follow-ups and monitoring are essential to ensure that the condition does not progress. If you have any further concerns or symptoms, it is advisable to consult your healthcare provider for personalized advice and potential additional testing.

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