Mild Heterogeneity

[jonkob]

Hi There Doctor. I dont know if you remember me, Im the hypochondriac :)
anyway, I recently had a follow up ultrasound. My last one 2 years ago showed moderate to severe fatty liver with mild enlargement. I was also 60 pounds overweight. I lost about 35 pounds and have been exercising etc.
All my LFTs are normal.
PT time normal
Platelets 240,000
No abnormalities.
I just had a follow up abdominal ultrasound and the results are:
Hepatic echo texture is mildly heterogeneous possibly representing mild patchy fatty infiltration. No other abnormalities"
How long have I got to live :)

PA-cound this be left over fat from my heavy days?

[Thomas D Schiano, MD]

congratulations on the weight loss--please keep up the good work.  Ther ultrasoind findings are definitely a residua from having the fatty liver--it will take a while for total normalization of the hepatic parenchyma so i wouldnt expect the ultrasounds to become normal so quickly.

[jonkob]

Thanks Doctor! I actually had a colonoscopy today and discussed this with my gastro and he told me the exact same thing as you!
Best regards;
Jon

[jonkob]

Doctor I'm sorry, one other thought here, being I had a sever fatty liver only 2 years ago that I now reversed, could this simply be leftover fat patches?

[jonkob]

Just to add:

ALT is 36
AST 19
Bilirubin 1.0
Almumin 4.6
Platemlets 220
Creatnine 1.0
PT time normal

[jonkob]

I forgot to mention, this US was compared to one they did in 1993.
I actually have blood tests done every 3 months because I am on Testopel (testosterone pellets) so CBC;s and LFTs are always checked. Additionally I give blood every 3 months to keep my hematocrit down (it runs borderline high due to the testosterone).