What does heterogenous parenchymal echopattern with left hepatic lobe enlargement mean?

Several things. Heterogenous pattern of liver on ultrasound can mean liver disease such as cirrhosis, chronic hepatitis.Metatatic disease, lymphoproliferative diseasse, and fatth liver. Fatty liver usually has increased echogencity. Left lobe can enlarge to compensate for loss of liver function as long this as normal appearance to its echogenicity. Blood tests, physical examination, history, biopsy help.