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What does increased echogenicity in liver ultrasound mean?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had an upper abdominal ultrasound. Report stated very suboptimal scan, bowel gas shadowing and patient habits and subcostal position of organs. Visualized sections of liver are increased in echogenicity and a coarse echotexture. Portal vein demonstrates hepatopetal flow. Liver enlarged 18.6 cm. Both kidneys, aorta and spleen are satisfactory. I am very worried. Can you give a second opinion? I have scan images too.
Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

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Hi,

Welcome to icliniq.com.

Your ultrasound does show hepatomegaly with fatty infiltration. No focal abnormality can be seen in the images provided (attachment removed to protect patient identity). However, ultrasound has its limitation and is not able to see through the bowel gases and fat depth which is why your radiologist has mentioned to avoid over diagnosis. If clinically indicated, they would recommend you a CT scan or MRI.

Patient's Query

Thank you doctor,

From looking at the images, would you say fatty liver is suggested? Could it be worse? Also, does the fact that the liver is enlarged suggest situation is worse?

Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

The fatty liver can be controlled by dietary precautions and avoiding high calorie fatty food. The situation is reversible. Please do not worry much.

Medically reviewed by Dr. Divya Banu M
Published At July 8, 2019
Reviewed At May 2, 2024

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chitrangada Jitendra
Dr. Chitrangada Jitendra

Radiology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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