Hi, How are you? Fatty liver or steato-hepatitis is caused by deposition of fat droplets in the liver tissue (which appears as echogenic liver on ultrasound). The two main causes of fatty liver are Alcohol consumption (alcoholic Steatohepatits, ASH) and high caloric food intake coupled with sedentary life style (non-alcoholic Steato-hepatitis, NASH). ASH is the early stage of damage to the liver by alcohol and is completely reversible if the patient gives up drinking. NASH is much more commonly diagnosed nowadays owing to high caloric food intake and sedentary lifestyle of most people. Both ASH and NASH, if not controlled will ultimately progress to cirrhosis of the liver which could necessitate a liver transplant in the future. In your case, you seem to be in the very early stages of fatty liver disease (echogenic, but normal size liver with sharp edges). Given that alcohol and high calorie food intake are the main causes, I would advise you to follow a healthy life style. Although alcohol consumption in moderation should not be a problem (not everyday), I would suggest following a regular exercise regimen and limiting you caloric intake. I would also recommend getting your Liver function blood test done as a baseline. This should reverse the fatty changes in your liver. Hope this helped and hope you feel better. Please do not hesitate to contact me for further details - rxsuresh@gmail.com