<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, MRI says: liver parenchyma is coarse and midely heterogeneouse enhanced. liver at right lobe and medial segment are atrophic and lateral segment of left lobe and caudate lobe shows compensatory hypertrophy . what does it mean? is it dangerous? what do you suggest?  <response>: Hello Coarse echo texture of liver may indicate liver parenchymal disease. Findings may indicate cirrhosis. Normal echo texture of liver is homogeneous. You may need clinical examination and few more investigations like routine hologram, viral markers, random blood sugar, liver function test, renal function test, urine REME. Liver biopsy and fibrosis can be done if needed. Liver biopsy can assess true nature of disease. Treatment depend upon findings. Avoid alcohol if you take it. Take Care Chat Doctor. 