Cardinal signs of fatty liver
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Quick answer
Fatty liver is often asymptomatic. When signs are present, the cardinal clinical finding is:
- Hepatomegaly: enlarged, smooth, usually non-tender liver
- Mild right upper abdominal discomfort or fullness
- Fatigue or malaise
- In more advanced disease: features of chronic liver disease, such as jaundice, ascites, pedal edema, spider angiomas, or splenomegaly
On ultrasound, typical signs are a bright echogenic liver, increased liver-kidney contrast, and poor visualization of deep hepatic vessels/diaphragm.
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