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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Labs Show Mild Hepatomegaly With Fatty Infiltration, Non-dilated Ducts. Is This Alarming?

I took my result after three days this was the findings. The liver is slightly enlarged measuring 15.67 cm with increased echogenicity. Hypoechoic region is noted anterior to the gallbladder . Ducts are not dilated. Common bile duct measures 0.3 cm IMPRESSION: MILD HEPATOMEGALY WITH FATTY INFILTRATION AND AREA OF FOCAL FAT SPARED NON DILATED DUCTS May I ask you to it explain further. Do I have to worry? thanks and kindest regards.
Sat, 5 Jan 2013
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Gastroenterologist 's  Response
Hello, raymondqdatuon,
Fatty liver can be present if you are over weight.
Other causes of fatty liver include alcohol excess with poor diet,
certain drugs such as NSAIDS,Ibuprofen,Naproxen,Sulfa drugs,
Tetracycline family of drugs can cause fatty liver. Fatty liver
of pregnancy is known. Some metabolic diseases including
diabetes can cause fatty liver.If you have elevated lipids,diabetes,
and are over weight, that fits "Metabolic Syndrome" with fatty liver.
In your case, your liver is mildly enlarged and fatty changes are
seen. Bile is produced in the liver and are carried by small ducts
called Hepatic ducts (Channels) and drian into a bigger channel
called the common bile duct which inturn brings the bile to the
gallbaldder. Gallbladder stores the bile and releases it during
digestive process after we eat food. In your report all the ducts
are normal and not enlarged or blocked, which is good.
You can start taking Vit_e 800 i.u. daily, Vit-C 1000 mg. daily
avoid fatty foods, increase protein in the diet. Make sure you
get checked for diabetes and take care of the blood sugar if high.
If your cholesterol is high, you have to control that with diet and
if needed with medications.
I hope this information helps you.
I wish you well.
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General & Family Physician Dr. Mamun Kabir's  Response
thank you.are you alcoholic or obese?this two are the most common causes of fatty infiltration of liver which may cause mild hepatomegaly.you need to do some biochemical blood test like SGPT,GGT & bilirubin to see liver function.try to remove triggering factor(obesity,alcoholism) if present.
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Labs Show Mild Hepatomegaly With Fatty Infiltration, Non-dilated Ducts. Is This Alarming?

Hello, raymondqdatuon, Fatty liver can be present if you are over weight. Other causes of fatty liver include alcohol excess with poor diet, certain drugs such as NSAIDS,Ibuprofen,Naproxen,Sulfa drugs, Tetracycline family of drugs can cause fatty liver. Fatty liver of pregnancy is known. Some metabolic diseases including diabetes can cause fatty liver.If you have elevated lipids,diabetes, and are over weight, that fits Metabolic Syndrome with fatty liver. In your case, your liver is mildly enlarged and fatty changes are seen. Bile is produced in the liver and are carried by small ducts called Hepatic ducts (Channels) and drian into a bigger channel called the common bile duct which inturn brings the bile to the gallbaldder. Gallbladder stores the bile and releases it during digestive process after we eat food. In your report all the ducts are normal and not enlarged or blocked, which is good. You can start taking Vit_e 800 i.u. daily, Vit-C 1000 mg. daily avoid fatty foods, increase protein in the diet. Make sure you get checked for diabetes and take care of the blood sugar if high. If your cholesterol is high, you have to control that with diet and if needed with medications. I hope this information helps you. I wish you well.