Hi there, I often get referrals for ultrasound findings seen in relation to liver and gallbladder issues. The diffuse increase in echo texture means that you have a bit of a fatty liver, which in itself can be normal due to aging. This can lead to NASH (nonalcoholic steatohepatoses), which is a fancy way of saying you have fat that is damaging your liver. This isn t necessarily reversible, but you can limit the amount of damage that is done to your liver by limiting your alcohol intake, and staying away from fatty foods. Your hepatic ducts are within normal size, and the range can be anywhere from 2mm to 7mm, depending on your age and liver function. I wouldn t worry about this. Your right kidney seems fine and again, no cause for concern. Overall, you have hepatic steatosis which means fatty liver. Stay away from fatty foods, alcohol, and limit your tylenol intake to no more than 2 grams per day (and only if you absolutely need it). I d also recommend you get a repeat liver ultrasound in 6 months to a year, as well as have your liver enzymes checked. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven t addressed your question adequately.