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Every investigation is to be corelated clinically,first we should know why this sonography
was ordered and what is the clinical background of the patient.
Symptoms are complaints for which seeks medical advise.
This sonography indicate Fatty changes in liver with gall bladder
thick walls which is commonly seen in Diabetes
,Lipid abnormalities,Alcohol liver disease. Spleen
is also enlarged may be due to fever? or alcohol induced.Echogenic changes are to be corelated to kidney
Free fluid in abdomen may point out Ascitis which corelates with Liver disease.
Hence please visit your treating physician he will take care and advise accordingly.
Good luck to you