I'm relatively new to liver disease. A fatty liver was mentioned in passing however nothing was ever stressed about how serious it could be. My enzymes have been spiking on and off for about 3 years. Due to a drastic weight gain in a 3 month time period my Endocrinologist ordered a CT scan which wasn't approved by my insurance, so an ultrasound was done. The US showed enlarged liver with fatty involution consistent with fibrosis. The liver was to large and dense to see the pancreas and other organs. I'm waiting for the insurance to approve a CT scan (I live in USA). I guess I'm wondering how serious this is and what should I be eating and not eating etc? I know no one here can diagnose but does anyone have any idea if I might be at a point where I still have hope to change with healthy eating? I am completely unable to lose weight, I have metabolic syndrome and a 40 hour a week desk job.