<s>[INST] My liver is slightly enlarged(16.4) , margins are smooth and parenychymal echoes are coarse and enhanced (generalised . No focal abnormal echoes seen . Vascular pattern is normal . Intrahetic biliary ductules are normal , non dilated. GALL BLADDER - Few echogenic foci with posterior of artifacts seen in fundal region likely suggest adenomymatosis......what does all these reports mean in a simple language ?? [/INST] HelloYour findings suggests mildly enlarged fatty liver with coarse echo texture.Coarse echo texture may indicate liver parenchymal disease.You may need clinical correlation and few investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile,urine RE/ME.Ultrasound findings also suggests adenomyomatosis of gall bladder.It is a benign condition characterized by hyperplastic overgrowth of mucosa of gall bladder,thickening of the muscular wall and formation of diverticulum or intramural sinus tracts(Rokitansky-Aschoff sinuses).Echogenic foci with posterior of artifacts seen in fundal region may be due to deposition of cholesterol in gall bladder wall.It may be an incidental asymptomatic finding and may not require any treatment.Get well soon.Take CareDr.Indu Bhushan </s>