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Have diabetes mellitus. Abdominal ultrasound showed mild fatty liver and cholelithiasis. What to do?

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My USG abdomen report says, the liver is normal in size(span-14cm),shape,position and shows bright echotexture. No evidence of focal lesion. No IHBR dilatation. Portal vein and common bile duct appear normal in course and caliber. No proximal CBD calculus. Gall bladder : well distended and shows mutiple calculi ranging in size from 5-6 mm. No pericholecystic fluid or wall thickening noted. Kidneys : both kidneys are normal in size, shape and echotexture. No evidence of focal lesion. No calculus / hydronephrosis on both sides. Corticomedullary differentiation is maintained bulaterally. right kidney measures 104x45 mm and left kidney measures 106x47 mm. No suprarenal mass lesion on both sides. Approximately 9mm sixed cortical calcification noted in the upper pole of left kidney. Impression : Mild fatty lever. Cholelithiasis. I was recently diagonised with Diabetes Mellitus
Posted Tue, 19 Feb 2013 in Liver and Gall Bladder
Answered by Dr. Anantharamakrishnan 38 minutes later
Hi friend,
Welcome to Health Care Magic

More than one problem needs attention / each may need a different specialist! / there is no emergency

1- Gall stones > there is no infection or malfunction / the gall bladder can safely be removed – by laparoscopy / Preferable, especially if you have any symptom – why was the USG done? / a planned procedure is safe - it can avoid emergency / being small, there is a chance for one of them to descend down and obstruct, resulting in cholecystitis, pancreatitis etc.... A surgeon specialised in Gastroenterology is ideal.
2- Mild fatty liver > maybe related to obesity, diabetes, lipid abnormality...Liver function and lipid profile need to be done / at times, viral profile may be necessary
3- Calcification in left kidney cortex > blood calcium, phosphorous, parathyroid hormone, vitamin D, kidney function – all have to be checked. It may not be significant now, but a baseline analysis and follow up will be necessary. A Nephrologist is the one specialised in the field
4- Diabetes Mellitus > needs proper treatment and follow up

Take care
Wishing speedy recovery
God bless
Good luck
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