Fatty liver with 2 focal calcification of 2.5mm each what does this means is there anything to worry please advise?

Calcium granuloma . this suggest previous infection with the body healing it as a calcified granuloma. Your physician can discuss this with you, if you have your other health problems, and see if there is any testing that could clarify the cause. The good news is this is a previous infection which the body has walled off. However there can still be infectious particles such as tuberculosis or fungus in those calcific.