What does “Hepatic steatosis” mean on a radiology report?
Fat has built up in the liver — commonly called fatty liver.
Why the radiologist wrote it that way
Fat changes how the liver absorbs X-rays and how it reflects ultrasound, so it looks brighter on ultrasound and darker on CT than a normal liver. It is often spotted incidentally during a scan ordered for something else entirely.
Is this good or bad news?
Very common, and in its early stages generally reversible through the things that address the cause — diet, weight, alcohol, and blood-sugar control. It is taken seriously not because of how it looks now but because long-standing inflammation in a fatty liver can eventually progress. This is a finding to discuss with your GP rather than one to act on alone.
What it does not mean
- Liver failure, or cirrhosis. Those are different findings and would be named.
- That it is caused by alcohol. Non-alcoholic fatty liver is extremely common.
- That it is permanent. Early fatty liver frequently improves.
Where you will see it
Words in this phrase
- Fatty infiltrationAbnormal fat deposits within an organ, usually the liver.
- CirrhosisScarring of the liver from long-term damage, often from alcohol or hepatitis.
- HepatomegalyEnlargement of the liver.
- AttenuationHow much X-rays are absorbed by tissue. Dense tissue (bone) shows high attenuation (bright), while air shows low attenuation (dark).
One phrase is not the whole report
What this sentence means for you depends on everything else your report says. Radily reads the whole thing and explains it in plain English — and can talk you through it on video, so you are not reading medical language alone.
Other phrases on your report
- Cannot be excludedThe images are not able to completely rule this out — which is a statement about the limits of the scan, not a suggestion that it is likely.
- NonspecificThe finding is real, but its appearance is not distinctive enough to say what is causing it.
- Small pleural effusionA small amount of fluid has collected in the space between the lung and the chest wall.
- Small vessel ischemic changesSmall spots in the brain’s white matter, very common with age, reflecting changes in the smallest blood vessels.
This explains how a phrase is commonly used in radiology reports. It is not a diagnosis, not a reading of your scan, and not medical advice. Only your doctor can tell you what your own report means.