###Human: What does coarsened echotexture and increased echogenicity in liver ultrasound indicate? ###Assistant: Hi. I read your US reports and I can say that: 1. You have fatty liver disease (steatosis). 2. With regards to second ultrasound indeterminant subcapsular posterior right hepatic lobe, 13x9 mm hypoattenuation means that ultrasound cannot identify the reason. Often it is related with no fatty tissues at this part of the liver. Otherwise, if I were your treating doctor I would suggest doing MRI of liver to better evaluate the parenchyma of the liver.