Hepatic Steatosis (Fatty Liver)
Understanding Hepatic Steatosis (Fatty Liver) found on Liver Ultrasound Imaging imaging. Learn what this finding means and what steps to take next.
Radiographic Appearance
Ultrasound Imaging FindingDiffuse increased echogenicity with vascular blurring; liver brighter than renal cortex.
Clinical Significance
Common and often reversible; associated with metabolic syndrome.
What is Fatty Liver?
Accumulation of fat in hepatocytes. Ultrasound screens for steatosis in metabolic risk patients.
Imaging Appearance
- Bright liver echotexture vs kidney
- Posterior beam attenuation in moderate/severe cases
- Focal sparing may occur near gallbladder/falciform
Clinical Significance
- Can progress to steatohepatitis and fibrosis
- Linked to diabetes, obesity, dyslipidemia
Symptoms
- Often asymptomatic; fatigue or dull RUQ discomfort possible
Diagnosis
- Ultrasound for detection
- Labs: ALT/AST/GGT for liver injury; metabolic labs per clinician
Treatment
- Weight loss, exercise, diet (Mediterranean-style)
- Control diabetes, lipids, blood pressure
- Avoid excess alcohol
Prognosis
- Steatosis reversible; fibrosis risk with ongoing insults
What Should You Do?
- Implement lifestyle changes and monitor weight.
- Follow liver enzymes and metabolic labs.
- Consider hepatology follow-up if elevated enzymes persist.
Medical Disclaimer: Educational only; follow clinician advice.
Correlate with Lab Results
Doctors often check these blood tests when Hepatic Steatosis (Fatty Liver) is found on imaging:
Related Imaging Terms
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