Scared: liver has a coarsened echotexture

Posted by coolchange @coolchange, Jul 18, 2025

I had an ultrasound of my abdomen on Tuesday and it said my liver has a coarsened echotexture. My primary care doc thinks it is probably due to fatty liver and has referred me to a hepatologist. That appointment is this coming Monday. Oddly enough, my liver function test was entirely normal. I am very scared.

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Profile picture for kitnels @kitnels

Other day my lab work came back liver elevated at 253 and 255. Had altrasound yesterday care team have not seen the results yet but I have it shows increased echogencity coarsened ehco structure?

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Hi, @kitnels - welcome to Mayo Clinic Connect. I personally was tested extensively after my first ever colonoscopy found a neuroendocrine tumor they initially thought was a polyp till it was tested in the lab. I really dislike the time of being tested (I recall having tears flowing out of my eyes during one whole scan) and then waiting for all the results to come in. I get the term "scanxiety" now. Same for lab results.

Still, reading the results in my patient portal, it was kinda like a foreign language to me, not having any training in radiology or pathology. I only understood a small portion of the words. I could only guess at the ultimate meaning, as could my husband.

The toughest time was after this first colonoscopy when I thought my lab results might be saying I had cancer, and since my colonoscopy was on a Friday, I had no doctor to talk with till the next week. The wait was painful. I can only imagine it has been for you, too.

I found that I really could have no full understanding and certainly no perspective on the results till I finally talked to my general practitioner that Monday. I learned that I did have a cancerous tumor removed, but that it was the slow growing, low risk type.

Do you have all your lab work back now, kitnels? How about your imaging results? Has a doctor interpreted them for you?

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Profile picture for kimmie925 @kimmie925

I was diagnosed with nonalcoholic fatty liver disease with stage 3 fibrosis in 2020 and did what I was told to do and a year later my fibrosis was non existent and by 2022 my enzymes were well within normal range. In May of this year after a bad reaction to a small dose of fentanyl post op, my enzymes shot back up. It is scary after you did what you were told to do and it seems that you are back at square one.

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@kimmie925 Hi. What you did to have the Fibrosis 3 to be existent? I'm battling with the same, but the medication is not doing nothing. Please n Thank You.

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