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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can NAFLD Progressing Cause Heterogeneous Liver?

I've had "fatty liver" for over 10 years. My liver enzymes just recently elevated ALT 103 AST 50, US from 2008 showed 2 cm lesion - NOW although lesion same size, it says "liver mildly heterogeneous echotexture" whic is non-specific. Kind of freaked, since that can mean cancer? although the lesion the same size 4 years later - could this be the NAFLD progressing?

Wed, 30 Mar 2016
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Gastroenterologist 's  Response
Hello

Thanks for asking query on HCM. As you already have fatty liver/NAFLD for last 10 years, it is likely to progress and can cause liver fibrosis. As the liver enzymes are elevated it looks like you have steatohepatitis. Coase echotexture of liver is nonspecific but indicates liver fibrosis/early cirrhosis. You would require a liver biopsy or fibroscan for further evaluation. Although there is a lesion in liver, size of which has not changed for last 10 years is likely to be a benign lesion like hemangioma and unlikely to be a cancer. Please consult your gastroenterologist or liver specialist for further evaluation and management.

Take care.
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Can NAFLD Progressing Cause Heterogeneous Liver?

Hello Thanks for asking query on HCM. As you already have fatty liver/NAFLD for last 10 years, it is likely to progress and can cause liver fibrosis. As the liver enzymes are elevated it looks like you have steatohepatitis. Coase echotexture of liver is nonspecific but indicates liver fibrosis/early cirrhosis. You would require a liver biopsy or fibroscan for further evaluation. Although there is a lesion in liver, size of which has not changed for last 10 years is likely to be a benign lesion like hemangioma and unlikely to be a cancer. Please consult your gastroenterologist or liver specialist for further evaluation and management. Take care.