needs enlightenment on this matter

what does this mean - Normal sized liver with mild to moderate degree of diffuse fatty change. Non specific focal lesion, anterior inferior segment, right lobe as described, which could represent a high density cystic lesion or a low density nodule. suggest correlation with other clinical parameters

[stef2011]

with mild to moderate degree of diffuse fatty change

you have moderate fatty liver disease, it is same as hepatitis and leads to liver cancer or cirrhosis.of course if you have hbv+fatty liver that's double damage.
fatty liver is due to unhealthy diet, fat in the diet, meat, little gym, being over wheight.you can reduce this disease by vitamin E supplements, exercises, healthy fresh food, high cholesterol and so on, it is serious.
some antidiabetics drugs+cholesterol owering drugs+vitamin E are on trial but i don t know if results are good

also methabolic stress and excess of oxidation can boost fatty liver disease and liver cancer development.oxidation stress is increased by hbv and by unhealthy habits

Non specific focal lesion, anterior inferior segment, right lobe as described, which could represent a high density cystic lesion or a low density nodule. suggest correlation with other clinical parameters
it is very difficult to see if liver cancer is developping because cancer looks like cystic lesions, fat nodules or regenerating nodules in cirrhosis.the only ways are to follow by fibroscan because cancer usually grows very fast or by TAC and other more potent machines than ultrasound, i am not expert of these machines and i don t know them.
In any case i think that with fatty liver disease it should be more a fatty nodule or cyst rather than HCC but you will be able to tell only if it regress or stays stable

for example i am regressing from cirrhosis so i hve the higest risk of liver cancer.they detcted a focal lesion 6mm and they just rechecked it after 4 months and it was disappered, this is the way to know if it was HCC or not, but when the area and type of lesion is very suspicious they make TAC immediately

[stef2011]

i forgot to menthion that there are many types of benign tumors too in any case just follow by ultrasound in 4 months and check if it grows/stable/regressed

sizes>3cm start to be worrying