### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my ultrasonography report shows that, in liver (i) mild diffuse increase in echopattern , (ii)evidence of abdominal wall hernia in the left lumbar region as described, (iii) normal sonological study of the rest of the abdomen and pelvis . one imp. thing about myself i am a regular alchohal drinker.

### output:

Hi, How are you? My name is Chat Doctor.  I am a Liver and pancreas specialist and I hope to answer your question today. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. Continued intake of alcohol, high caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). Fatty liver is completely reversible if the patient adopts a healthy lifestyle, gives up alcohol, limits his caloric intake and exercises regularly. But If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. You also seem to suffering from a hernia which basically says that your abdominal wall has become weak and that the organs are pushing out. I would advise you to consult a surgeon immediately to get it evaluated, esp in regard to need for surgical correction. Hope this helped, and please do not hesitate to contact me for further details - rxsuresh@gmail.com