Many ultrasound performers underappreciate the Sonographic sign of “increased liver echogenicity” they do not mention it sometimes on their report, and this could be because it is common and usual sequel for obesity. The aim of this study was to report on the diagnosis of new cases of Type II diabetes mellitus/Pre diabetes and dyslipidemia among patients who on ultrasound scan were found to have liver hyper echogenicity .Also to study liver echogenicity impact on different factors like HbA1c, ALT, AST, serum Cholesterol level, serum Triglyceride level, Body Mass Index MBI, liver size.
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