Hi I have gone through your sonogram findings.fatty hepatomegaly is quite comnon now a days.dont worry its reversible if you start dietary modifications and exercises.fatty liver is due to many causes like alcohol ,excessive refined caarbohydrate use , obesity ,diabetes & some drugs.fat accumulation in liver causes liver cell dysfunction causing hepatitis.best thing to avoid and reduce is start fibre diet , avoid ecess use if refine carbohydrate ,avoid fatty fried foods,excess use of sweets and encourage intake of green leafy vegetables , fruits.start excercises.most of the times it reduces.start excercises like walking.check liver function tests.nothing to worry.if any abnormalities in liver function tests advised to consult gastroenterologist. Thank you Regards Vasundhara