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A 40-year-old male asked:

Ultrasound shows liver is 16.5 cm sagittally. liver is markedly echogenic and also heterogeneous and coarse. whats this mean?

3 doctor answers5 doctors weighed in
Dr. Anthony Filly
Radiology 27 years experience
Fatty liver: Sounds like they are describing fatty infiltration of the liver.
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Dr. John Lipman
Radiology 37 years experience
Talk to liver MD: The liver may be enlarged and "markedly echogenic" is descriptive term used when looking at ultrasound image when the structure you're looking at is brighter than expected. This is commonly seen in the liver due to fatty infiltration. This can be completely reversible if the offending agent is found and eliminated. Most common: alcohol, hepatitis, certain medications, type ii diabetes/obesity.
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Dr. David Dang
Radiology 15 years experience
See below: It sometimes depends on the ultrasound machine. Some older machines make everything echogenic and coarse. On a good machine, the findings may indicate fatty changes in the liver or cirrhosis. Please follow up with your doctor on recommendations. A liver function test may help. Sometimes a ct of the abdomen may help.
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Last updated Oct 27, 2020

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