Educational, not a diagnosisAbdomenUltrasoundCTMRI

Fatty liverAlso called: Hepatic steatosis

Fatty liver means extra fat has built up in the liver. It is very common, often reversible, and usually managed with lifestyle changes rather than medication.

What it is

“Hepatic steatosis” describes fat stored in liver cells. On ultrasound the liver looks brighter than usual; on CT or MRI it can be measured. It is linked to weight, diet, blood sugar, and alcohol.

How common is it?

Extremely common — fatty liver is one of the most frequently reported findings on abdominal imaging and affects a large portion of adults.

What's usually next

Your doctor typically checks liver blood tests and risk factors like weight, cholesterol, and blood sugar. The mainstay is lifestyle change; sometimes further tests assess for inflammation or scarring.

When it usually isn't — and when it might be — worrying

Usually reassuring

  • Described as “mild” fatty change
  • Normal liver blood tests
  • No symptoms

Worth discussing with your doctor

  • Described as “moderate” or “severe”
  • Signs of inflammation or fibrosis (scarring) mentioned
  • Abnormal liver blood tests alongside it

Questions to ask your doctor

  • 1How much fatty change is there — mild, moderate, or severe?
  • 2Are my liver blood tests normal?
  • 3Is there any sign of inflammation or scarring?
  • 4What lifestyle changes would help the most?

Educational use only. This explanation helps you understand terminology on your report. It is not a diagnosis, is not FDA-cleared, and does not replace your doctor. Bring questions to your care team.

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