Does anyone know what my ultrasound shows?

keangkong

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Does anyone know what my ultrasound from today shows? I don't see the endocrinologist until Friday of next week. This is what the radiologist wrote:

US Abdomen Complete

REASON FOR EXAM
: Metabolic dysfunction-associated steatotic liver disease (MASLD)

COMPARISON: None

TECHNIQUE: Transabdominal imaging with grayscale, color Doppler and duplex evaluation.

FINDINGS:

Liver: Liver is normal in size. Liver parenchyma is diffusely increased in echogenicity. Smooth surface contour. No solid liver mass. Main portal vein is patent with appropriate direction flow.

Gallbladder: Gallbladder is normal in size without stones or sludge. No wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. No intrahepatic bile duct dilation.

Pancreas: Visualized pancreatic head and neck are normal in echogenicity.

Kidneys: Kidneys are normal in size and echogenicity. No hydronephrosis. No solid mass.

Aorta/ IVC: Normal in size without aneurysm.

Spleen: Normal in size and echogenicity.

Other: No ascites.

Measurements:
Liver Size: 16.8 cm
Spleen Size (greatest dimension): 11.0 cm
CBD: 2 mm
Right Kidney: 11.7 x 6.5 x 6.2 cm
Left Kidney: 11.9 x 7.7 x 5.7 cm

IMPRESSION:
1. Hepatic steatosis.
2. Otherwise no acute process identified in the imaged abdomen.
 
Does anyone know what my ultrasound from today shows? I don't see the endocrinologist until Friday of next week. This is what the radiologist wrote:

US Abdomen Complete

REASON FOR EXAM
: Metabolic dysfunction-associated steatotic liver disease (MASLD)

COMPARISON: None

TECHNIQUE: Transabdominal imaging with grayscale, color Doppler and duplex evaluation.

FINDINGS:

Liver: Liver is normal in size. Liver parenchyma is diffusely increased in echogenicity. Smooth surface contour. No solid liver mass. Main portal vein is patent with appropriate direction flow.

Gallbladder: Gallbladder is normal in size without stones or sludge. No wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. No intrahepatic bile duct dilation.

Pancreas: Visualized pancreatic head and neck are normal in echogenicity.

Kidneys: Kidneys are normal in size and echogenicity. No hydronephrosis. No solid mass.

Aorta/ IVC: Normal in size without aneurysm.

Spleen: Normal in size and echogenicity.

Other: No ascites.

Measurements:
Liver Size: 16.8 cm
Spleen Size (greatest dimension): 11.0 cm
CBD: 2 mm
Right Kidney: 11.7 x 6.5 x 6.2 cm
Left Kidney: 11.9 x 7.7 x 5.7 cm

IMPRESSION:
1. Hepatic steatosis.
2. Otherwise no acute process identified in the imaged abdomen.
Chatgpt gave me this :

Hi keangkong,
Thanks for sharing your results. From what you posted, it looks like the main finding is hepatic steatosis (fatty liver), which is pretty common, especially with weight fluctuations or metabolic changes — including when using GLP-1 medications. The good news is that everything else (gallbladder, kidneys, spleen, pancreas, vessels) appears normal, and there are no signs of acute issues like masses, stones, or obstructions.

Of course, it's always best to go over the full report with your doctor, but based on the info you shared, it doesn't seem alarming. Managing fatty liver usually involves weight management, healthy diet, and sometimes adjusting medications. You're definitely not alone with this finding!

Hope everything goes well with your follow-up.
 
Congrats. It means you are a healthy fat ass like me. Keep doing what you are doing to get healthy. Years of pizza chicken wings and beer finally took its toll. At least thats what did it for me. It can take a long time to dry out the fatty liver. I practice Chinese medicine in real life, so I'm not a "real" MD.
 
In other way of looking at it. Its the earliest but reversible path to cirrhosis of the liver. Alt and ast were probably elevated which prompted the Doc to send for an ultrasound. If the numbers were more than double the normal range, it warrants a look on ultrasound for confirmation, otherwise they just wanted money.
 

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