Thank you for the query. I would like to know your age, gender and whether you suffer from any associated conditions like Diabetes mellitus, Obesity or Dyslipidemia. I would also like to know whether you consume alcohol frequently. Fatty liver is evident on an Ultrasonography, as an echogenic liver (i.e. white in appearance) which may be enlarged. Blood investigations reveal altered/deranged liver function tests (raised liver enzymes). There are a number of causes of Fatty infiltration of the liver which may be broadly classified into Alcoholic (due to alcohol consumption) and Non Alcoholic Fatty Liver disease (NAFLD) which may be due to Diabetes, Obesity, Hypertriglyceridemia, consumption of excess fat in diet. Fatty liver is a reversible condition, wherein withdrawal or control of the offending agent leads to resolution of the condition. For eg. avoidance of alcohol or control of diabetes mellitus. If not controlled in the initial stages it may progress to chronic liver disease. I would advise you to cut down the fat content of your diet. If you are obese/ overweight gradual weight reduction is advised. A diet high in fibre content is preferable. You will need to avoid carbonated beverages. refined carbohydrates (i.e. fast food) and alcohol. I would advise you to screen for blood sugar (if you have not done that already) and as mentioned above a liver function test may be needed. The other parameters of your USG are acceptable. A small, simple hepatic cyst, does not cause any harm. Only if it is infected there may be complications. Hope this helps you out.