I recently had labs drawn that showed elevated lft's. i also had a recent us done which has been interpreted as "compatible with fatty infiltration or hepatocellular disease". can this be reversed with weight loss?

It is likely that the lesion will reverse with weight loss. Even if weight loss keeps the disease from getting worse, it will be a win. For healthy diet: http://www.choosemyplate.gov/., exercise 30 minutes/day, drink enough water daily so your urine is mostly colorless, have safe sex, no tobacco alcohol weed or street drugs. Wish you good health!