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Hi Doctor, Recently When I Got An MRI Of My
Question: Hi Doctor,
Recently when i got an MRI of my abdomen for diagnosis of Cushing, it came out that I had 17 cm of fatty liver. I am 5.8 high and i weigh 70 kg of age 24. I always been slim and skinny all my childhood, 3 years back I was diagnosed of Gynecomastia and since i had developed fat over my abdomen area and chest but other parts of my body still remain skinny though. I don't drink alcohol nor smoke nor been on any drugs all my life. I look under grown and small compared to people of my age. Other symptoms which i had are day dreaming, not able to concentrate for long, getting tired easily, slight depression, not able to exercise, feeling week.
Lipid Panel:
Total Cholesterol - 209
HDL - 48
Tri-glycerides - 171
TC/HDL ratio - 4.4
Glucose(non fasting) - 92
BMI - 24.6
Body fat% - 24.2
My question for you are:
1) Is fatty liver of 17 cm usual and normal or bad or worst for my age
2) What should I do now , are there any surgeries i need to go through or medications i should be taking
3) Can this fatty liver also a symptom of long untreated Cushing disease?
Recently when i got an MRI of my abdomen for diagnosis of Cushing, it came out that I had 17 cm of fatty liver. I am 5.8 high and i weigh 70 kg of age 24. I always been slim and skinny all my childhood, 3 years back I was diagnosed of Gynecomastia and since i had developed fat over my abdomen area and chest but other parts of my body still remain skinny though. I don't drink alcohol nor smoke nor been on any drugs all my life. I look under grown and small compared to people of my age. Other symptoms which i had are day dreaming, not able to concentrate for long, getting tired easily, slight depression, not able to exercise, feeling week.
Lipid Panel:
Total Cholesterol - 209
HDL - 48
Tri-glycerides - 171
TC/HDL ratio - 4.4
Glucose(non fasting) - 92
BMI - 24.6
Body fat% - 24.2
My question for you are:
1) Is fatty liver of 17 cm usual and normal or bad or worst for my age
2) What should I do now , are there any surgeries i need to go through or medications i should be taking
3) Can this fatty liver also a symptom of long untreated Cushing disease?
Brief Answer:
Mild elevation of lipid is due to cushing syndrome.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your reports and details,
As per various trials and researches scientists knew that the body's own glucocorticoid hormones such as cortisol promote the development of fatty liver.However 17 cm is just mild. Take proper treatment under endocrinologist for preventing further worsening of condition.
2)Initially medications are tried however if not relieved surgeries are done.
3)In your case yes it is a result of untreated cushing syndrome.
Suggestion,
Whether you need surgery or medical treatment would be decided as per the response to medicine.
Please reply back with the dose and medicine you are on for a better professional advice.
Waiting and regards!
Mild elevation of lipid is due to cushing syndrome.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your reports and details,
As per various trials and researches scientists knew that the body's own glucocorticoid hormones such as cortisol promote the development of fatty liver.However 17 cm is just mild. Take proper treatment under endocrinologist for preventing further worsening of condition.
2)Initially medications are tried however if not relieved surgeries are done.
3)In your case yes it is a result of untreated cushing syndrome.
Suggestion,
Whether you need surgery or medical treatment would be decided as per the response to medicine.
Please reply back with the dose and medicine you are on for a better professional advice.
Waiting and regards!
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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