Hello Hepatomegaly with fatty changes may due to altered lipid profile because you have fatty liver. It is a very common disease among young adults due to changing life style. Most commonly it is due to obesity and sedentary life. You need few other investigations like routine hemogram,Random blood sugar(RBS),Liver function test(LFT),Lipid profile,Renal function test(RFT). Fatty liver is a reversible condition and it can be reversed by diet and life style changes. You may need some medicines after full investigations. It may take 3-4 months to reverse the findings. You should be active in your daily life. You should avoid red meat and high fat milk products. Cook food in olive or canola oil. You should take limited salt in your diet.You should also avoid fried and junk food. Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise. You can also do meditation and yoga.It will help you a lot. Try to reduce your weight if you are over weight. Get well soon. Hope I have answered your question. Take Care Dr.Indu Bhushan