Dealing with Nephroangiosclerosis: Questions & Advice

So, I’ve been dealing with some nagging abdominal pains lately, which led my doctor to order some blood work and liver function tests. My enzyme and bilirubin levels were a bit high, so I went ahead and checked for hepatitis markers, mono, allergies, and all that good stuff... Everything came back negative, thankfully. Then I had an ultrasound, and that’s when things got interesting. It turns out I have a fatty liver, but they also spotted some nephroangiosclerotic changes in my kidneys. Honestly, seeing that at just 27 feels pretty unusual. Neither my primary physician nor the specialist seemed thrilled about the news, though nobody has pointed me toward specific follow-up testing yet. I guess I’m spiraling a little bit here—how serious is this really? Is there a way to fix it, or should I be genuinely worried? I’ve already been on a strict diet for a week to help my liver, and I’m definitely committed to a total lifestyle overhaul from here on out. It’s one of those situations where you don't realize how important health is until life gives you a bit of a wake-up call, I suppose!😕

Hi everyone, could someone help me make sense of these ultrasound results? It says the liver is morphologically steatotic, without any specific lesions or focal areas.
The pancreas shows mild fibrocystic changes, and the spleen looks fine—but let’s get to the part that actually matters: the kidneys. Right kidney measures 110x55mm
with a cortex of 16mm and a hyperechoic renal pelvis. Using Doppler at the level of the arcuate arteries, the RI is 0.92 with a Vmax of 150cm/sec.
Left kidney is 105x50mm, cortex is 12mm, hyperechoic renal pelvis, RI is 0.98, and Vmax reaches 155cm/sec.
Diagnosis:
hepatic steatosis
and nephroangiosclerosis in both kidneys with rapid blood flow. All the doctor said was that the kidneys "aren't good."
The patient is a 71-year-old woman dealing with diabetes and high blood pressure—she's on medication for both.
Thanks in advance for any insight.

Michelle Carter49 said:Can someone please break down this ultrasound report for me? It says my liver is morphologically steatotic, but without any focal spots or lesions. What does that actually mean in plain English?
So, here’s the breakdown on the pathology report: we're looking at benign fibrocystic teratoma, splenic B.O.A., and now—the part that actually matters—the kidneys. The right kidney is measuring in at 110x55mm.
The renal cortex is measuring at 16mm, and there’s some hyperechogenicity present. On the Doppler ultrasound, specifically looking at the level of the arcuate arteries, the resistive index (RI) is sitting at 0.92 with a Vmax of 150 cm/sec.
Left kidney measures 105x50mm with a 12mm cortex. The renal pelvis shows hyperechogenicity. Resistive Index (RI) is 0.98, with a peak systolic velocity reaching up to 155 cm/sec.
Diagnosis:
Fatty liver disease is a absolute nightmare that nobody seems to take seriously enough until it’s too late. I am talking about steatosis—where your liver basically starts turning into a grease trap because of poor lifestyle choices or metabolic issues. It is not just some minor inconvenience; it is a slow-motion train wreck for your health. If you aren't careful with your sugar intake and processed junk, you are essentially marinating your internal organs in sludge. You can feel fine today, but that doesn't mean your liver isn't screaming for help behind the scenes. We need to stop treating our bodies like trash cans and start paying attention to what we put on our plates before we end up facing serious complications like cirrhosis or even worse. Get it checked out, watch the carbs, and for heaven's sake, take it seriously!
So, I just got back from the doctor, and honestly? I’m fuming. He gave me this vague, half-baked diagnosis about nephroangiosclerosis affecting both kidneys, along with some nonsense about high flow rates. But did he actually explain what that means for my future? Did he sit me down and walk me through the implications? No. He just looked at me and said, "Your kidneys aren't doing great." That's it. That's the whole conversation. Just a blunt, dismissive sentence dropped like it was nothing. How am I supposed to process "your kidneys aren't good" when you're dealing with actual medical terminology? It's incredibly frustrating. You expect a professional to provide clarity, not just a drive-by comment that leaves you spiraling.
She’s 71 years old, battling diabetes and high blood pressure. She’s stuck on a cocktail of pills for both.
Thanks in advance!

With these results in hand, you really ought to be getting in touch with an international nephrologist immediately. Seriously. Don't just sit on this.