Ultrasound revealed large hypoechoic area in liver anterior lobe no ascites detected.increased parenchymal changes.please suggest next steps?

History of Hepatitis: Do you have history of Hepatitis. If you do, Please check Alpha Feto Protein. Consider MRI of liver if elevated to rule out Hepatocellular Carcnoma.

Action required.: The next step is to get together with your physician, who ordered the study, to discuss these findings. This is a very non-specific finding that means that you have a mass which needs to be further looked at by either more detailed imaging (MRI or CT scan), or it needs a biopsy so the tissue can be looked at in more detail. They can be benign, but also might be malignant.