Ultrasound Imaging📍 Liver更新于 2025-12-15影像科审核
Hepatic Steatosis (Fatty Liver)
了解 Liver Ultrasound Imaging 影像中的 Hepatic Steatosis (Fatty Liver)，明确其含义与下一步措施。
影像表现
Ultrasound Imaging FindingDiffuse increased echogenicity with vascular blurring; liver brighter than renal cortex.
临床意义
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.
搭配化验结果解读
当影像出现 Hepatic Steatosis (Fatty Liver) 时，医生常会查看这些化验：
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