Brief Answer:
Requires further evaluation

Detailed Answer:
Hello Mr XXXXXXX
How are you? Thank you for writing into HCM. My name is Dr Suresh Raghavaiah. I am a liver transplant surgeon and I hope to answer your question today.
One thing which will help me guide you further is to the know the reason why you got the scan done. If you had any symptoms, could you please let me know and also your height and weight?

Regarding your questions,

1. Fatty liver can be caused by excessive alcohol intake (Alcoholic steato hepatitis, ASH) or due to excessive fatty food intake and sedentary life style (Non-alcoholic steato hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. XXXXXXX is being much more commonly diagnosed currently owing to poor dietary habits and sedentary life styles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left un-checked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant.

I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight.

2. The gall bladder (GB) contracts once the patient eats a meal. That is one of the reason why the radiologist asks patients to be fasting before the scan so that the GB is distended and it will be easier to look at it on ultrasound. In your scan it appears that you might have a stone in your GB, but cannot be seen clearly . So I would suggest a repeat scan in a fasting state to confirm it. But I would not act on it, even if the scan shows a stone, until it is causing you any symptoms.

3. Cysts in the kidney are totally normal finding on ultrasound scans. In your case it appears to be a simple cyst and I would not worry about it. If a repeat scan in the future shows that the cyst is increasing in size or if you develop any symptoms, I would get it evaluated further.

Hope this helps and hope you start to feel better.
Please do not hesitate to contact me for any further clarifications

have a great day
Dr Suresh Raghavaiah

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