Dear sir, I am a statistical officer at chittagong port authority, from bangladesh. For the last two months, my urine was getting yellow. Then I was tasted my blood the result is s. Bilirubin, s.g.p.t/alt, s. Creatinine was 1.60 mg/dl, 92.0 u/l & 0.90 mg/dl respectively. Then port doctor advised me to admit in to hospital, then I was admitted in to hospital. Doctor told me to take ursodeoxycholic acid-300 mg twice daily. I was doing it. after 3 days then doctor further examine my blood and found the result is s.bilirubin -1.50 mg/dl, s.g.p.t./alt-94. 0u/l, s.g.o.t./a.s.t.-62.0 u/l, hcv-negative, hb%-15.0 gm/dl, esr-08 mm, t.c-7800/cu. Mm, d.c-54/40/03/03, pi.count-150000 cu/mm, hbsag (s)-negative. After 2 days doctor tasted again s. bilirubin -1.0 mg/dl, s. S.g.p.t./alt-154.0 u/l, s.alk.phosphate-164.0 u/l, s.albumin-4.8gm/dl. Hb-15. 0gm/dl, e.s.r.-08 mm fall in 1st hour, whit blood cells -7500 per cu. Mm, red blood cells- 5.0 per cu. Mm, I have no diabetes. And usg of whole abdomen was done the result is ?1.liver mildly enlarged (14.1 cm) with homogeneously echogenic in parenchymal echo-texture. 2. Gallbladder is normal in size, there is a blight echogenic structure in the lumen (11 mm) casting posterior acoustic shadow. Spleen is prominent (10. 8 cm) & uniform?? then doct. Commented that 1. Cholelithiasis, 2. moderate fatty change in the liver with mild hepatomegaly, 3. Prominent spleen in the above circumstances, what should I do?