<s>[INST] i had an ultrasound on liver. Report said the liver demonstrates a diffusely increased and heterogenous echo texture. No liver lession seen.but one can be missed in the setting of an echogenic liver. Impression. There is an echogenic liver . While this usually represents fatty infiltration,other hepatocellular process such as cirrhosis and hepatitis can have a similiar appearance. [/INST] Hi thanks for contacting Chat Doctor. Increased echogenicity here could be due to stenosis means fatty liver. It seems to be early stage. Measure your serum cholesterol also. In hepatitis other sign and symptoms present like headache, muscle ache, anorexia, omitting etc...with abdominal pain and jaundice. If present viral marker can be done. In cirrhosis in USG typical modularity seen. And it is the stage after hepatitis. Here fatty liver most probable cause. Try limit fatty food for it..... Take care..... Chat Doctor.  </s>