#595 CASE SUMMARY
Fertility Ultrasound
Infertility
Fertility Report (Second Opinion)
Privacy Protected Case Summary
Understanding Grade-I Fatty Liver on Ultrasound in a 19-Year-Old — Key Findings Explained
About the Couple
Patient Age:
19
Location:
Abdominal & pelvic ultrasound (outpatient clinic)
Duration of Infertility:
Not applicable (infertility duration not provided)
Key Clinical Finding:
Ultrasound impression notes diffuse Grade-I fatty liver with increased hepatic echogenicity; other abdominal/pelvic structures described as largely normal (e.g., no focal liver lesions, normal CBD, no free fluid, no hydronephrosis/calculi).
Report Type:
ABDOMINO PELVIC ULTRASOUND DOPPORT; PELVIC ULTRASOUND SCAN REPORT; COMPLETE BLOOD PICTURE
Expert Interpretation
The ultrasound report provided limited fertility-specific information, but it does include a clear abdominal/pelvic finding: diffuse Grade-I fatty liver (mild fatty change). Many other observed structures in the report are described as normal or without concerning focal lesions or fluid. With only partial contextual information available, the safest interpretation is that the main actionable finding is mild fatty liver, and follow-up with the ordering clinician is important—especially to correlate with symptoms and any blood test results included in the complete blood picture.
Previous Consultation
Treating Surgeon and Hospital
Not specified in the provided record,
Gastroenterology/General Physician
Key Findings From the Report
Diffuse Grade-I fatty liver:
PARAMETER
FINDING
Impression - fatty liver grade
DIFFUSE GRADE-I, FATTY LIVER
Ultrasound impression reports fatty liver grade and diffuse fatty change.
No focal liver lesions and normal bile ducts:
PARAMETER
FINDING
Focal liver lesions
No focal lesions
CBD (common bile duct)
normal
Intrahepatic biliary radicals
are normal
Liver echogenicity
increased echogenicity
No focal lesions reported; common bile duct and intrahepatic biliary radicals described as normal.
Gallbladder and pancreas described as normal:
PARAMETER
FINDING
Gall bladder distension
partially distended
Gall bladder intraluminal echoes
normal
Gall bladder wall thickness
normal
Pancreas size/shape/contour
normal
Pancreatic echogenicity
uniform echogenicity
Gallbladder is partially distended with normal wall thickness and intraluminal echoes; pancreas described as normal in size/shape/contour and echogenicity.
Kidneys/urinary tract without hydronephrosis or calculi:
PARAMETER
FINDING
Hydronephrosis/calcuii
No hydronephrosis / calculi seen
Ureteric dilatation/calculus (UV junction)
No obvious ureteric dilatation or calculus noted in UV junction at present
Urinary bladder
Well distended and appears normal
Urinary bladder calculi
No e/o calculi
No hydronephrosis or calculi; ureteric junction appears normal; bladder appears normal without calculi.
Uterus and endometrium described; right ovary obscured:
PARAMETER
FINDING
Uterus size/contour/echotexture
Normal
Endometrial thickness
4.8 mm
Right ovary
is obscured
Left ovary dimensions
2.0 x 1.5
Uterus appears normal; endometrial thickness reported; right ovary obscured while left ovary dimensions are provided.
Questions Patients Often Ask
What does “diffuse Grade-I fatty liver” mean on an ultrasound?
It means the liver shows mild fatty change spread throughout the liver. Grade-I is the mildest category mentioned in the report.
Are there any signs of liver tumors or focal lesions in this report?
No focal liver lesions are reported (“No focal lesions”).
Is the bile duct system abnormal?
The report states the common bile duct (CBD) is normal and intrahepatic biliary radicals are normal.
Were gallstones or swelling of the gallbladder seen?
The gallbladder is partially distended, with normal intraluminal echoes and normal wall thickness; no abnormal calculi are described in the provided text.
Does the report show kidney stones or hydronephrosis?
No. It states there is no hydronephrosis or calculi seen, and the bladder appears normal without calculi.
What This Means for the Patient
- The main highlighted finding in the provided ultrasound text is mild (Grade-I) fatty liver.
- Most other abdominal/pelvic structures described are reported as normal, including no focal liver lesions and no hydronephrosis/calculi.
- Because some details (like fertility history and consultation notes) are not available, your clinician should correlate these results with symptoms and blood tests.
- Discuss lifestyle and metabolic risk factors with your healthcare team if fatty liver is confirmed on follow-up testing.
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