Fatty infiltration of the liver is seen as the increased echogenicity We aimed to study the relationship between the liver function tests and the degree of fatty infiltration in the liver parenchyma, also to compare our findings with the current literature. A total number of 78 cases with 57 patients that admitted to the ultrasound unit with varying degrees of hepatic fatty infiltration, and a 21 cases of control group with normal liver echogenicity were examined prospectively between 2006 and 2007 in Turkey Ankara Training and Research Hospital, Department of Radiology. A statistically significant increase was observed in the serum AST, ALT, GGT and LDH enzymes in the patients with mild, moderate and severe hepatosteatosis (grade 1, grade 2, grade 3) according to the control group who have normal liver echogenicity (grade 0) on Ultrasound. There was a statistically significant high levels of serum LDL, HDL and triglyceride levels in the cases with fatty infiltration of liver compared to the control group. No significant difference is detected in the liver enzymes except ALT among the three groups of patients with various degrees of fatty infiltration of the liver. We've found an increase in serum ALT levels in proportion to the severity of hepatic steatosis. Consequently, for any reason, in patients with unexplained disturbances in liver function tests, should be considered for fatty liver and ultrasound examination should be done
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