I have gone through your ultrasound
You have mentioned that you are having right upper abdomen pain since 4 days and ultrasound showing enlarged liver
with grade 1 fatty changes. well, the liver has a capsule over it. So when the liver enlarges (hepatomegaly
) the capsule stretches and this causes pain in the right upper abdomen region. Fatty changes in the liver is seen in many patients like alcoholics and also obese patients. Grade 1 fatty changes is not a big issue.
You have not mentioned about any other symptoms you might be having and your personal habits like alcohol intake.
If you are having fever, jaundice
and right upper abdomen pain, you might be having hepatitis
. For that you need to get your liver function tests (LFT). Usually in such cases LFT may show elevated levels of SGPT and SGOT.
if your fatty changes are due to alcohol intake, then you need to give up that habit and eventually the fatty changes will revert back to normal.
My advice is to consult a physician immediately and get an Liver function test done. Further management depends on your LFT report.