Slightly coarse and heterogeneous hepatic parenchymal echotexture without substantial change. no focal lesion identified.

More to it than this: This looks to be part of a report of an ultrasound and this portion of the report is discussing the echotexture pattern of the liver. Nothing in what you posted is very concerning. No focal lesion identified is a good thing, but the whole report including reason study done would be more helpful. Please discuss findings with doctor who ordered it for you. Best of luck with this. Dr R