A poor liver function can cause weight gain, especially around the belly. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Jacobs JE, Birnbaum BA, Shapiro MA et-al. There are many causes. Treatments for liver cancer include: Its difficult to prevent benign liver lesions. Several intrinsic liver pathologies can cause a diffuse change in liver attenuation with increased hepatic fat being the most prevalent. Significantly higher attenuation values were obtained from patients with alcoholic and cardiac cirrhosis, and following hepatic artery infusion with chemotherapeutic agents. Comparison of CT methods for determining the fat content of the liver. Four pathogenic mechanisms have been described: Fatty liver is an excessive accumulation of fat (lipid) inside the liver cells. Many do not need treatment. It means that the liver is uniform (the same all over) and doesn't have any areas that are scarred or damaged or abnormal. You May Like: What Is Hepatitis C Caused By Stay Away From Refined Grains And Added Sugar Refined grain and added sugar are significant contributory components to fatty liver disease and metabolic syndrome. Significantly higher attenuation values were obtained from patients with alcoholic and cardiac cirrhosis, and following hepatic artery infusion with chemotherapeutic agents. The radiologists evaluated the degree of fatty liver according to four grades as follows: 1) grade 0 (absence of steatosis with normal liver echogenicity); 2) grade 1 (mild steatosis, the liver had higher echogenicity than the right renal cortex, but the echogenic wall of the main portal vein was preserved); 3) grade 2 . Connect with a U.S. board-certified doctor by text or video anytime, anywhere. If you are at risk or experiencing symptoms, talk to your healthcare provider. This relationship was also significant after adjustment forage, gender, BMI, history of diabetes, smoking, and physical activity. Low attenuation liver lesions refer to less intense liver lesions that are difficult to distinguish and diagnose in liver imaging tests such as liver CT (computed Tomography, PET (Positron Emission Tomography) scan. can it be cancer? For instance, diffusely decreased liver attenuation typically suggests a fatty infiltration (liver steatosis), malignant infiltration, non-malignant infiltration (e.g. PT. Nothing else fit, all tests said I was otherwise healthy. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8362. When this happens, you may experience abdominal pain. In cases like this I sit down with the radiologist who interpreted the ct scan and ask advice as to possible diagnosis, how concerning is the lesion, Attenuation is like density on a CT. A high attenuation tissue like bone, will appear white on a CT, whereas low attenuation (less dense substances l Dr. Frank Kuitems and another doctor agree. The CT attenuation value is defined as the radiodensity of each material and is expressed in HUs, in which the radiodensity of distilled water at the standard pressure and temperature was defined as 0 HU, whereas that of air was defined as -1000 HU. What kind of lesions are found in the liver? The value of attenuation in normal liver was estimated as 0.52 +/- 0.03 dB/cm/MHz, measured at 3 MHz. However certain liver lesion or tumor can become malignant (cancerous) posing higher risk and requires surgical interventions for treatment. My doctor said that where I don't have an alcohol problem or high cholestorol that the decreased attenuation was of no concern. [21], in a study of 153 patients with breast cancer, discovered small hypoattenuating hepatic lesions in 35%. Is that liver cancer? Hepatomegaly is having an enlarged liver. , Oatmeal. 2. LD. A mild fatty liver is over 5% but less than 33%. Created for people with ongoing healthcare needs but benefits everyone. 3. You also have the option to opt-out of these cookies. Radiographics. Accessed April 12, 2021. Liver steatosis is graded based on the percentage of fat within the hepatocytes: grade 0 (healthy, <5%), grade 1 (mild, 5%-33%), grade 2 (moderate, 34%-66%), and grade 3 (severe, >66%). can significantly reduce the risk of developing liver lesions. Mayo Medical Laboratories. It varies based on the type of cancer and how long the cancer has been there. Lawrence EM, Pooler BD, Pickhardt PJ. This common yet mysterious bowel condition plagues millions of Americans, Don't get burned again. In the liver, most low attenuation lesions are. Focal nodular hyperplasia, which often develops in women and has a scar-like appearance. Cleveland Clinic Cancer Center provides world-class care to patients with cancer and is at the forefront of new and emerging clinical, translational and basic cancer research. Can you still play Colossal Cave Adventure? Diffuse disease occurs as the hepatocytes are damaged and liver function decreases. Your healthcare provider will help you decide which one is best for you. Diffuse liver changes are due to alcohol abuse, smoking, unhealthy diet, genetic abnormalities, the use of potent drugs or antibiotics, especially a long period. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369839/), (https://www.cancer.org/cancer/liver-cancer/detection-diagnosis-staging/survival-rates.html), (https://www.cancerresearchuk.org/about-cancer/secondary-cancer/secondary-liver-cancer/about), Visitation, mask requirements and COVID-19 information. Radiographics. People with grade I fatty liver exhibit no symptoms and usually learn about it either through routine ultrasounds or health check ups for other conditions. Severe scarring has built up, making it difficult for the liver to function properly. recommend further evaluation with liver mri non-emergently. Mayo Medical Laboratories. It is an In people who already have nonalcoholic fatty liver disease, regular coffee drinking lowers the odds of developing cirrhosis. Accessed April 12, 2021. In a liver ultrasound examination is a reversible condition what does liver attenuation mean can be isolated and call. Its upper surface is slightly convex and is moulded on to the diaphragm; its under surface presents the gastric impression and omental tuberosity. It occurs in people who take steroids, like those found . In addition, liver parenchymal attenuation in CT may be affected by some factors, including the presence of excess iron and glycogen in the liver and the certain drugs such as amiodarone and methotrexate, acute hepatitis or acute toxic hepatic injury and cirrhosis[15,39,40]. Liver attenuation index (LAI) was derived and defined as the difference between mean hepatic and mean splenic attenuation. I am also wondering if you can have decreased attenuation and not have fatty infiltration. Also, changes in liver tissue are caused by metabolic organ damage, viruses, autoimmune hepatitis, cirrhosis, severe weight loss, obesity. A single copy of these materials may be reprinted for noncommercial personal use only. Many people only find out they have one when they go for an imaging test, like an ultrasound, for a different health issue. Liver function tests check the levels of certain enzymes and proteins in your blood. However certain liver lesion or tumor can become malignant (cancerous) posing higher risk and requires surgical interventions for treatment. CT w/contrast. , which are benign, however your Dr can best determine if other risk factors or findings (cirrhosis, Dr. Frank Kuitems and another doctor agree. If only the amalyse is elevated - I assume then the other liver function tests were normal (AST, ALT, Bilirubin, Albumin, GGT). Diagnostic criteria for fatty infiltration of the liver on contrast-enhanced helical CT. AJR Am J Roentgenol. Your doctor will probably ask you to avoid eating food and taking some medications before your blood is drawn. 56 to 65 years. , Flush out with plenty of water intake: Water is the best flushing agent. Which is an example of a low attenuation lesion? Required fields are marked *. National Heart, Lung, and Blood Institute. Complication can develop after 5 to 10 years, though it more commonly it takes 20 to 30 years. For diagnostic purposes, liver masses should be divided into those occurring with and without cirrhosis. Feeling full after eating small amounts of food. For these, please consult a doctor (virtually or in person). Mean CT attenuation values (in Hounsfield units) were obtained and recorded for both the liver and spleen by one of six radiologists using a validated single-slice standard region-of-interest method (Fig. The itching typically occurs on the soles of the feet and the palms of the hands. Whereas hepatic steatosis and cirrhosis both affect the liver, its important to note a number of primary distinctions. Who is the guy that talks fast in commercials? Diagnosing liver disease: Liver biopsy and liver function tests. Cleveland Clinic is a non-profit academic medical center. LAI greater than 5 HU correlated with macrovesicular steatosis of <5%. By using our website, you consent to our use of cookies. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Accessed April 12, 2021. This makes it harder for your liver to work. The cookie is used to store the user consent for the cookies in the category "Performance". is mri with contrast needed or regular mri suffice. CT scan can be affected by other factors such as iron and fibrosis deposition. They will be detected in as much as 30% of people over 40 who undergo imaging tests. I had tests that checked my liver function because of my symptoms. The main risk associated with blood tests is soreness or bruising at the site of the blood draw. Causes of liver damage and failure. Policy. Hyperdense (more dense): If an abnormality is bright (white) on CT , we describe it as hyperdense. So you are saying that decreased attenuation usually means that there has been fatty infiltraton. The cookie is used to store the user consent for the cookies in the category "Other. If benign liver lesions are small and dont cause symptoms, no treatment is needed. However, unenhanced CT also plays an important role in revealing so-called hyperattenuating signs, which represent a slight increase in the focal attenuation of a vessel. Mayo Medical Laboratories. Hepatic steatosis is defined as pathologically elevated liver fat content and has many underlying causes. All rights reserved. Nonsteroid anti-inflammatory drugs (NSAID), Antidepressants such as tetracyclic antidepressant, agomelatine, and bupropion, Fortunately, most liver lesions are benign (noncancerous) and do not cause any major threat. Accessed April 12, 2021. The falciform ligament sort of divides parts of the liver, and it's possible even that some of what is being seen is artifactual, meaning just some shadowing due to the crossing of the planes. 9. We use cookies to ensure that we give you the best experience on our website. In the liver, most low attenuation lesions are hemangiomas, which are benign, however your Dr can best determine if other risk factors or findings (cirrhosis, hepatitis etc,) warrant further evaluation of your lesion. sea-level). Visualized portions of the liver are homogeneous in echogenicity. Nonsteroid anti-inflammatory drugs (NSAID) Acetaminophen Statins Oral antifungal drugs Antidepressants such as tetracyclic antidepressant, agomelatine, and bupropion Conclusion Fortunately, most liver lesions are benign (noncancerous) and do not cause any major threat. Screen for liver infections, such as hepatitis, Monitor the progression of a disease, such as viral or alcoholic hepatitis, and determine how well a treatment is working, Measure the severity of a disease, particularly scarring of the liver (cirrhosis), Monitor possible side effects of medications. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8360. 6. I had a MRI done that showed, the nonspecific fatty infiltrate of the left rectus muscle (again) , this time in addition: "fluid-fluid" level within the gallbladder, either gallbladder sludge or gallstones, slightly thickened posterior fundal gastric wall, and rib pathology is a consideration? If your doctor sends your blood to an off-site laboratory, you may receive the results within several days. Confluent hepatic fibrosis is a masslike atrophic region oc casionally seen in cirrhosis, and it typically affects the anterior and medial segments (Fig. Depending on your health and the health of your liver, you may be a candidate for a liver transplant, a surgery in which a diseased liver is removed and replaced with a piece of or an entire healthy one from a donor. Hepatic attenuation on unenhanced CT (expressed as Hounsfield units) depends on a combination of factors but is most influenced by the accumulation of intracellular vacuoles of triglycerides (i.e., hepatic steatosis) [1]. I love to write and share science related Stuff Here on my Website. Liver adenoma, a rare liver tumor. Grade I fatty liver occurs in the early stages where the fat is deposited outside the liver and does not interfere with its functioning. If you continue to use this site we will assume that you are happy with it. Fatty liver is also known as hepatic steatosis. To learn more, please visit our. The physiologic attenuation of liver parenchyma at unenhanced multidetector CT varies interindividually between 55 and 65 HU. Significantly higher attenuation values were obtained from patients with alcoholic and cardiac cirrhosis, and following hepatic artery infusion with chemotherapeutic agents. This site complies with the HONcode standard for trustworthy health information: verify here. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Hepatic attenuation on unenhanced CT (expressed as Hounsfield units) depends on a combination of factors but is most influenced by the accumulation of intracellular vacuoles of triglycerides (i.e., hepatic steatosis) [1]. Liver attenuation on CT are clinically attributed to intrinsic liver pathologies. Fortunately, most liver lesions are benign (noncancerous) and do not cause any major threat. Scattered low attenuation hepatic lesions, incompletely Why would the buldge come from out of my chest like that? Check for errors and try again. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. On rare occasions, they can become large enough to press on nearby organs. This can be due to a number of things ranging from technical difficulties with the machine to different abnormalities of the liver. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Why did you have a CT scan done in the first place ? What Are Liver Lesions. Fill your fruit basket with apples, grapes and citrus fruits like oranges and lemons, which are proven to be liver-friendly fruits. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8677. Last reviewed by a Cleveland Clinic medical professional on 05/18/2021. In . Created for people with ongoing healthcare needs but benefits everyone. However, you may visit "Cookie Settings" to provide a controlled consent. Your email address will not be published. Noise. and not really the rectus muscle? Blood is ALKP 90 ALT 45 AST 28 CRP 1.7. What do the C cells of the thyroid secrete? what does liver attenuation mean . I am just nervous about my doctors non-concern.. It is mainly diagnosed according to the definition of liver blood vessels and the degree of ultrasonic attenuation. health information, we will treat all of that information as protected health Uniform attenuation in liver. https://www.uptodate.com/contents/search. And most lesions dont need treatment. Skin and eyes that appear yellowish (jaundice), Coffee. Most liver lesions are benign, meaning non-cancerous and do not cause any significant concern. Ct said slightly desreased attenuation of liver can b early fatty liver. On CT, confluent hepatic Fig. Liver lesions are also known as liver tumours which abnormal masses of cells or tissue in the liver. If signs and symptoms of liver disease do occur, the may include: According to a 2017 article , healthcare professionals commonly associate itching with chronic liver disease, especially cholestatic liver diseases, such as PBC and primary sclerosing cholangitis (PSC). And if imaging studies show signs of a liver lesion, remember that it might not be serious. This cookie is set by GDPR Cookie Consent plugin. Your doctor will explain your results and what they mean. Causes of liver damage and failure include: viral infections, such as: hepatitis A. hepatitis E. chronic hepatitis B. chronic hepatitis C. genetic conditions . Hyperattenuating signs are occasionally observed when an acute . Analytical cookies are used to understand how visitors interact with the website. Here is a brief list: Obesity Diabetes Chemicals and drugs (such as alcohol, corticosteroids, tetracyclines, valproic acid, methotrexate, carbon tetrachloride, and yellow phosphorus) Malnutrition and a diet that is deficient in protein Pregnancy (14.1 cm) The study represents one of the largest populations studied regarding average liver length, and it concluded that the . Could it be just the liver acting up? Mayo Medical Laboratories. Approach to the patient with abnormal liver biochemical and function tests. Liver lesions are groups of abnormal cells in your liver. Measurement of tissue-bound amiodarone and its metabolites by computed tomography. A CT scan was then done from my lower chest down. Etiology Diffusely increased attenuation iron deposition hemosiderosis thalassemia hemochromatosis: one paper suggests investigation for iron overload if unenhanced liver density is >75 HU 9 copper deposition attenuation/signal of liver shifted towards that of fat focal fatty sparing islands of normal liver tissue within a sea of hepatic steatosis possibly occur due to regional perfusion differences 2 importantly, compared to intrahepatic masses, fatty sparing has no mass effect with no distortion of vessels see also focal hepatic steatosis In humans, the digestive juice bile is stored and concentrated in the gallbladder. What are the differences between a male and a hermaphrodite C. elegans? Created for people with ongoing healthcare needs but benefits everyone. Wien Klin Wochenschr. By clicking Accept All, you consent to the use of ALL the cookies. lobe measuring approximately 1.8 x 1.5 cm. The blood sample for liver function tests is usually drawn through a small needle inserted into a vein in the bend of your arm. Hounsfield units are obtained from a linear transformation of the measured attenuation coefficients 1. Darker structures are hypodense or low density; brighter structures are hyperdense or high density. We also use third-party cookies that help us analyze and understand how you use this website. I saw a GI Doctor 2 years ago and had many tests ran. Doctors typically provide answers within 24 hours. Without a biopsy we can only speculate. Accessed April 12, 2021. Accessed April 12, 2021. Hepatic steatosis is caused by imbalance between the delivery of fat in the liver and its subsequent secretion or metabolism. - could it be the rectus muscle from my first MRI?) Kodama Y, Ng CS, Wu TT et-al. GGT. Consume grapes as it is, in the form of a grape juice or supplement your diet with grape seed extracts to increase antioxidant levels in your body and protect your liver from toxins. Pecnik P, Ranftl V, Windpessl M. High Liver Density on CT Imaging Due to Amiodarone Toxicity. Survival and mortality The median survival was 24.2 (range 0.2-26.1) years in the NAFLD group and 19.5 (range 0.2-24.2) years in the AFLD group (p = 0.0007). I am sorry if I am asking too many question? It is situated in the epigastric, and left hypochondriac regions of the abdomen. Created for people with ongoing healthcare needs but benefits everyone. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Tissues like air and water have little attenuation and are displayed as low densities (dark), whereas bone has high attenuation and is displayed as high density (bright) on CT. The left lobe is smaller and more flattened than the right. ALB. Liver surface nodularity has been attributed to re-generative nodules [3]. Many people only find out they have one when they go for an imaging test, like an ultrasound, for a different health issue. The treatment and prevention of liver lesions usually depend on the extent (stage) of the liver lesion. (1) Introduction: Restriction in sodium intake is an important strategy for reducing cardiovascular morbidity and mortality, considering the direct influence of high-sodium diet consumption on the development of hypertension and cardiovascular diseases. It can lead to much more serious conditions including cirrhosis and liver failure. The good news is that fatty liver disease can be reversedand even curedif patients take action, including a 10% sustained loss in body weight. hepatic amyloidosis), ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. You may feel a quick pain as the needle is inserted into your arm and experience some short-term discomfort at the site after the needle is removed. Does the decreased attenuation neccesarily mean there has been fatty infiltration, and if not does the decreased attenuation affect the livers function??? privacy practices. 10). Allowing for all these factors, the mean unenhanced attenuation value is around 55 HU 4. You are here: Home. Most people don't have serious reactions to having blood drawn. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8344. Liver lesions are groups of abnormal cells or tissues. Value of hepatic computerized tomographic scanning during amiodarone therapy. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. include protected health information. Attenuation is the reduction of the intensity of an x-ray beam as it traverses matter. It said low attenuation throughout the hepatic parenchyma. Gold storage in the liver: appearance on CT scans. Accessed April 12, 2021. (14.4 cm) Greater than 66 years. Clin Radiol. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 1A, 1B). Graduated from ENSAT (national agronomic school of Toulouse) in plant sciences in 2018, I pursued a CIFRE doctorate under contract with SunAgri and INRAE in Avignon between 2019 and 2022. Mayo Medical Laboratories. We offer this Site AS IS and without any warranties. But some liver lesions can be cancerous that often require surgical intervention and medical treatment. Median follow-up time for the non-alcoholic group was 9.9 years (range 0.2-26 years) and 9.2 years (0.2-25 years) for the alcoholic group. It was at 118. Normal blood test results for typical liver function tests include: These results are typical for adult men. Unable to process the form. From the radiology report, it is likely an area of fatty infiltration. Over 34% but less than 66% is moderate, while over 66% is severe. Research suggests that losing weight is the single best thing you can do to control or reverse NAFLD. 8. I have a low attenuation liver lesion more than 5mm. When do you find out you have liver lesions? 2000;174 (5): 1417-21. Your doctor may call them a mass or a tumor. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. The tests measure the levels of certain enzymes and proteins in your blood. Yellowish skin and whites of the eyes (jaundice). Researchers arent sure why some lesions develop. I have no idea what to do? Possibly, but I am unfamiliar with such a liver effect. Anyhow, the family doctor said that the decreased attenuation area was very normal and of no concern since I don't have alcohol or cholestorol problems. Heavy drinking puts you at greater risk for it, but you can get fatty liver disease, even if you don't drink a lot of alcohol. Your provider may monitor them by repeating imaging. The grades are assigned as follows: S0, no steatosis (0%10% fat; 0237 dB/m); S1, mild steatosis (11%33% fat; 238259 dB/m); S2, moderate steatosis (34%66% fat; 260292 dB/m); and S3, severe steatosis (>67% fat; 293 dB/m). Mayo Clinic does not endorse companies or products. . Types of benign liver lesions include: Liver hemangioma, the most common benign liver lesion. PHYSICS OF CT The density of the tissue is in proportion to the attenuation of the x-rays which pass through. Liver disease can cause pain and swelling in the feet. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Liver function tests are blood tests used to help diagnose and monitor liver disease or damage. What is the difference between grade 1 and grade 2 fatty liver? The development of fatty liver will lead to hepatitis, cirrhosis and even liver cancer. Areas of high attenuation (visually as opaque as bony structures) in an abnormality on CT scans can be an important clue to the correct diagnosis. (2018) AJR. The cookie is used to store the user consent for the cookies in the category "Analytics". Ct of abdomen- granular high attenuation material in both kidneys. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8340. To determine whether it affects liver function, blood tests to evaluate liver function would have to be performed. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8520. There are several options. If we combine this information with your protected The CT attenuation value is defined as the radiodensity of each material and is expressed in HUs, in which the radiodensity of distilled water at the standard pressure and temperature was defined as 0 HU, whereas that of air was defined as -1000 HU. lipase elevated 400 dr didnt seemed concerned but i am scared. Lump you can feel toward the top right side of your stomach. It may be a benign cyst. Cirrhosis is a late-stage liver disease characterised by fibrosis or scarring of the liver tissues leading to liver cancer. Body mass index (BMI) was determined for each patient. Examples, attenuation values Air has a negative AV; fluids have an AV up to the low 30s; non-calcified solid masses to the low 70s; calcified masses up to 100. I was diagnosed with IBS. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. Definition of attenuation : the act or process of attenuating something or the state of being attenuated: such as. (like a third breast almost! Mean splenic attenuation was calculated with three separate ROI measurements. And even when it does, it's most often simply a finding of note, but not of consequence. If benign liver lesions are large and cause symptoms, they can be removed by surgery. Laboratory tests of the liver and gallbladder. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. It does not store any personal data. liver amyloidosis), acute hepatitis, or acute liver failure [6], [7]. evaluated without intravenous contrast, for example in the right hepatic does this mean i have cancer. 5.6 in. Diffuse disease of the liver: radiologic-pathologic correlation. Who wrote the music and lyrics for Kinky Boots? Cirrhosis. Aetiology Diffusely increased attenuation iron deposition haemosiderosis thalassaemia haemochromatosis: one paper suggests investigation for iron overload if unenhanced liver density is >75 HU 9 copper deposition Fatty change can definitely cause that to happen. De maria M, De simone G, Laconi A et-al. Inflammation. Hepatic steatosis is characterized by the buildup of fat in the liver; however, cirrhosis involves the development of scarring on top of healthy tissue. Review/update the I am assuming it is healthy and normal to have possible focal fatty infiltrate of the liver when liver function blood tests come back normal.