It's a results letter for leslie douglas foxtrot 803991 dear miss douglas I'm writing with the results of the ultrasound scan we are performing to monitor your liver disease full stop the are as expected with no sinister or worrying changes within the liver full stop there's no sign of pressure backing up behind the liver however your liver does appear to have appear to have significant fatty infiltration in keeping with your known metabolic liver disease full stop <\n\n> I will request another ultrasound scan for you in 6 months time to keep an eye on your liver I look forward to writing with the results of that full stop investigations for gp ultrasound liver may 20 25 diffusely increased reflectivity with heterogeneous echotexture in keeping with known chronic liver disease full stop normal vasculature, no ascites, no splenomegaly, no portal hypertension full stop