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

### input:
ok....  Im female 53.... weight 145.... 54     alt was 52   and ast  32  had a ultrasound and the results are... the liver is diffusely increased in echotexture. no masses or intrahepatic biliary ductal dilatation.  visualized portions of he pancreas are unremarkable. no gallstones. no gallbladder wall thickening or pericholecstc fluid.  common bile duc measured 3mm. right kidney measured 10.0 cm in length and was unremarkable ... impression: fatty liver, stable no other significant findings.Im stressed out, and not sure how serious this is.... I eat normal and do have cocktails.... my email will not be posted correct

### output:

Thanks for your query. Taking you clinical history and imaging findings in to consideration, your BMI, is 24.8 (on the higher side). Fatty liver can arise due to a number of conditions - mainly alcoholic and non-alcoholic (diabetes and hypertriglyceridemia are common conditions). Your liver enzymes are within acceptable limits though, and you have no other gross abnormalities (no gallstone, normal CBD). Stage 1 fatty liver is reversible. You need a weight reduction (by a healthy regimen, crash dieting not advised as it may aggravate the condition) and reduce the fat content of your diet (mainly the saturated fat). If possible you need to avoid alcohol. I would also advise you to get your Fasting and Post radial blood sugar checked along with your lipid profile (if deranged may need medications)Weight reduction and fat restricted diet should be sufficient at this stage, you can get yourself retested in 6 months.