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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "increase In Span Of Liver With Fatty Changes" Suggest?

In 2003 ,during blood it is understood that my liver enzymes were elevated and my sgpt & sgot levels in 2003 is 128 and 48 and sugar level is 80.last blood test on 2011 may,results shows that my sgpt is 64,sgot is 26,alk pho is 237 u/l,fasting blood sugar is 130,triglyceride is 186,TLC 8600 and DLC (Polymorph 57%,Lympho 38%,Eosinophils 5% and ESR 3mm/Ist Hr).all other test shows normal.

Same like that in my ultrasound scan results shows the following

2007 - Liver shows mild enlargement with fatty changes and max span 15.6 cms.span of spleen is 11.3 cms.all other organs shows normal

2008 – Liver shows enlargement with fatty changes and max span is 14.6 cms.span of spleen is 10.5.all other organs normal

2009 - Liver shows mild enlargement with fatty changes and regenerating nodules are also seen. max span 15cms.span of spleen is 9.6 cms.all other organs shows normal

But my last scan in may 2011 shows the following conclusion
There is further increase in the span of liver from 15 cms to 16.5 cms.no evidence of splenomegaly,ascites or portal hypertension.Diffuse fatty changes are present with regenerating nodules.spleen shows smooth and normal size,max span of spleen is 9 cms. All other organs are normal and CHD 2mms
Kindly tell me your opinon? Is there anything afraid? i`m non alchoholic also.please give a details comment about my liver present condition at the earliest

Thanks and regards

Mahesh ,Shimoga
Wed, 19 Oct 2016
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General Surgeon 's  Response
Hello,
1) Fatty liver is condition in which metabolism of fat in liver become abnormal due to high amount of fat in food-blood or faulty metabolism. This lead to deposition of residual fat on liver tissue and also affect liver function
2) Fat containing diet, sedentary lifestyle, alcohol are aggravating factors for it.
3) Fatty liver is divided into three categories; mild, moderate and severe based on severity of fat deposition on liver. You might have moderate level fatty change based on long duration history + size of liver
4) But presence of regenerating nodule warrant me to progression into severe category. In extreme case, it develop cirrhosis (rare) which is irreversible condition.
5) Therefore you need further evaluation (MRI abdomen or contrast enhanced CT scan abdomen, upper GI abdomen) for precise categorisation of your disease and to start prompt treatment for it.
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What Does "increase In Span Of Liver With Fatty Changes" Suggest?

Hello, 1) Fatty liver is condition in which metabolism of fat in liver become abnormal due to high amount of fat in food-blood or faulty metabolism. This lead to deposition of residual fat on liver tissue and also affect liver function 2) Fat containing diet, sedentary lifestyle, alcohol are aggravating factors for it. 3) Fatty liver is divided into three categories; mild, moderate and severe based on severity of fat deposition on liver. You might have moderate level fatty change based on long duration history + size of liver 4) But presence of regenerating nodule warrant me to progression into severe category. In extreme case, it develop cirrhosis (rare) which is irreversible condition. 5) Therefore you need further evaluation (MRI abdomen or contrast enhanced CT scan abdomen, upper GI abdomen) for precise categorisation of your disease and to start prompt treatment for it.