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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes fatty liver?

I had an ultrasound today and it states I have a "fatty" liver. What does that mean exactly, and my gallbladder is 3mm in thickness with sludge visualised. here is a copy of the report...



REASON FOR EXAM: Right upper quadrant pain. Nausea. History of

diabetes.



The gallbladder wall measures 3 mm in thickness. Slight sludge is

noted. No definite gallstones. Liver shows increase echo pattern. No

liver mass. Portal vein shows antegrade flow. Common hepatic duct

measures 1.7 mm. Common bile duct measures 7.1 mm. No intrahepatic

biliary duct dilatation. Visualization of the common bile duct is

suboptimal on this study. Pancreas is obscured by bowel. No free

fluid.



IMPRESSION:



Gallbladder shows a thickened wall and this large. No gallstones.

Correlate with the clinical findings and if needed with hepatobiliary

scan.



Normal caliber common hepatic duct and intrahepatic ducts. Bile duct

is slightly dilated measuring 7.1 mm. Because of the poor

visualization, the size of the common bile duct could be over

estimated because of technical factors.



Echo pattern of the liver is increased. Consider fatty and or fibrous

infiltration.



Mon, 25 Apr 2016
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General & Family Physician 's  Response
Hi thanks for contacting HCM.
Noted you have fatty liver disease.
Gall bladder thickness increased might be by chronic inflammation...

Fatty liver exactly means steatosis.
In which fat accumulate in hepatocytes...
There are few causes for it like high cholesterol, diabetic , drugs , alcohol etc.

You need to change life style for its treatment.
Take less fried food.
Use less oil in food ...
Use only good oils like sunflower or canola oil.
Regular exercise.
Avoid alcohol....

Take udiliv 150 mg tablet daily...

Regular follow up ...
Usually with above measure it will resolve in few months

Dr.Parth
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