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Fatty liver
fatty liver CT manifestations
Fatty liver, also known as hepatic steatosis, is a metabolic and functional abnormality of the liver that leads to abnormal deposition of fat in liver cells. Fatty liver typically presents characteristic features on a CT scan, generally starting with a decrease in density. The reference standard for decreased density is based on the spleen. Normally, the CT value of the liver is greater than that of the spleen. If the CT value of the liver is lower than that of the spleen, it can be diagnosed as fatty liver. Some focal fatty liver changes can also be diagnosed by CT, mainly manifested by a decrease in density in a particular lobe or segment of the liver, but the blood vessels can still be normally visualized.
Is fatty liver serious?
Is fatty liver serious? There are many causes of fatty liver, including obesity, medications, alcohol consumption, toxins, and malnutrition, all of which can lead to fatty liver. Generally, mild fatty liver can be reversed through proper diet and exercise. However, reversing severe fatty liver can be very difficult and challenging. At this time, patients need to have enduring stamina and confidence to cure fatty liver. The main approach is to strictly control the diet with low salt and low fat, avoiding greasy foods. Additionally, appropriate exercise is very important for eliminating fatty liver. Treating fatty liver cannot rely solely on medications, as this addresses the symptoms but not the root cause. Exercise is essential.
Does fatty liver disease transmit?
Fatty liver is relatively common in clinical practice. It is not an infectious disease and is not contagious. Fatty liver is generally considered to be caused by various reasons leading to fat deposition in the liver. Usually, there are no specific symptoms. Some patients may experience pain, dull pain, or discomfort in the upper right abdomen, along with nausea, etc. Typically, patients discover they have fatty liver during a physical examination or incidental liver function tests and abdominal ultrasound that indicate changes due to fatty liver. The general principle of treatment is symptomatic management. If liver function is abnormal, hepatoprotective treatment can be considered. Of course, if liver function is normal and it's purely fatty liver, the main approach is adjusting dietary and lifestyle habits. It is advised that patients consume high-quality proteins and reduce intake of greasy, fatty, low-fat, and low-sugar foods. Maintaining a good mental state, appropriately reducing weight, and exercising can cure mild fatty liver. If there is severe fatty liver, it is recommended that patients visit a local hospital for treatment.
How to treat hepatitis B coexisting with fatty liver?
The coexistence of hepatitis B and fatty liver can exacerbate liver damage and may also affect the treatment efficacy of hepatitis B virus. For patients with both hepatitis B and fatty liver, in addition to monitoring and treatment for hepatitis B, it is important to adjust their diet and lifestyle, limit fat intake, engage in physical exercise, and promptly eliminate fatty liver. For carriers of the hepatitis B virus, before initiating antiviral therapy, if liver function abnormalities occur, it is necessary to determine whether the liver damage is due to fatty liver or active hepatitis B virus. Treatments can include protecting the liver and eliminating fatty liver. If the response to treatment is unsatisfactory, antiviral treatment for hepatitis should be considered.