Conversation: The conversation between human and AI assistant.
[|Human|] Dear sir One of brother 28 yrs old Ultrasound done and found impresssion Hepatomegaly with diffuse increased in parenchymal echogenecity--------Fatty changes of liver. Normal GB ,CBD, Spleen , Pancreas Normal Kidneys,Ureters and bladder.2 Fasting lood Glucose-116mg% Random blood glucose-147mg%.Is it major ? mail id ; YYYY@YYYY
[|AI|]  Hello! Thank you for the query. Fatty liver can be caused by alcohol abuse (alcoholic steatohepatitis) or the cause can be nonalcoholic (nonalcoholic steatohepatitis). Nonalcoholic is mostly caused by obesity, fatty foods' intake, diabetes. Such condition can lead to liver cirrhosis and liver failure, and it is the risk factor of liver cancer. Your brother has also impaired fasting glucose what is prediabetes state. As your brother is very young he should do something with it, otherwise it can lead to serious complications. Physical activity and low fat diet is strongly advisable. Hope this will help. Regards.