<s>[INST] My ultrasound result reads as follows: The liver measures 13.7cm at the midclavicular line and demonstrates increased hepatic echogenicity.. No focal liver lesion. The main portal vein is patent and demonstrates a systolic flow velocity of 17.0cm/second. Flow is hepatopetal. Hepatic steatosis. No focal liver lesion . It sounds like a fatty liver; but the size is too enlarged? [/INST] Hi.Thanks for your query.Noted your history and understood your concerns.Note the reports of your Ultrasound showing liver of 13.7 and is within normal limits.The echogenicity is increased due to deposition of fat in the liver which is usually normally devoid of fat and hence the condition is also called as steatosis or fatty infiltration.The exact cause is not known the the possibilities are:Alcohol if you are taking.Fatty food and junk foods.Lack of exercises.There is no definite treatment as such but the following things help a lot in reversal:Diet control of oily fried foods.Exercises.No alcohol if at all you are taking.Start all these things and review the ultrasonography after three months.Also go for liver function and lipid profile studies in blood. Take care and you will be fine. </s>