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What Does "echopattern Of Liver Is Coarse" Mean?

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Posted on Wed, 29 Oct 2014
Question: Ultrasound report says echopattern of liver is coarse. spleen mildly enlarged. gallbladder has calculi 3-4 mm. I am diabetic. Blood sugar fasting 271 mg. P.P. 321 mg. despite of medicine. Age 52. Kindly advise me.
doctor
Answered by Dr. Shailja Puri (36 minutes later)
Brief Answer:
Surgery for gall stones, maintain blood glucose

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

The interpretation of ultrasound abdomen is as follows:
The gall bladder shows presence of stone measuring 3 mm in size.
The treatment for gall stones is removal of gall stone with the stones.

The splenic enlargement is caused by number of causes like obstruction of splenic vein, hematological disorders, infiltrative disorders, storage diseases etc.
The cause of splenic enlargement has to be found out.

The blood glucose levels are quite high - both fasting and postprandial ,thus, you need to consult your treating doctor for review of drugs, its dosage.
Diet should be managed and regular exercise is required.

Thanks and take care
Dr Shailja P Wahal


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Shailja Puri (22 hours later)
NOTHING HAS BEEN SAID ABOUT ECHO PATTERN OF LIVER. WHETHER IT WILL BE NORMAL AFTER REMOVAL OF GALL STONES?
doctor
Answered by Dr. Shailja Puri (41 minutes later)
Brief Answer:
Coarse echotexture is commonly due to fatty change

Detailed Answer:
Hello and welcome to HCM,
The echo pattern of liver is normally smooth.
Coarse echotexture is usually due to fatty change in liver.
Gall stone removal will not reverse the fatty change.
Instead fatty change has to be reversed
If you are taking alcohol then avoid it completely.
Other causes of fatty liver are diabetes mellitus, obesity, malnutrition, starvation to name a few conditions.

Thanks and take care
Dr Shailja P wahal


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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What Does "echopattern Of Liver Is Coarse" Mean?

Brief Answer: Surgery for gall stones, maintain blood glucose Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. The interpretation of ultrasound abdomen is as follows: The gall bladder shows presence of stone measuring 3 mm in size. The treatment for gall stones is removal of gall stone with the stones. The splenic enlargement is caused by number of causes like obstruction of splenic vein, hematological disorders, infiltrative disorders, storage diseases etc. The cause of splenic enlargement has to be found out. The blood glucose levels are quite high - both fasting and postprandial ,thus, you need to consult your treating doctor for review of drugs, its dosage. Diet should be managed and regular exercise is required. Thanks and take care Dr Shailja P Wahal