Multiple issues in the scan For uterine fibroid and bulky ovaries u need to consult a gynecologist For gb thickening u need cect abdomen For hepatospleenomegaly u need to get lftlipid profile and hba1c, hbsag hcv For renal calculi meet a urologist, if not symptomatic then hydration should be enough also get a kft done

-In view of renal calculus if no flank pain on either side of abdomen ,no need to do anything ,drink atleast 3 litre of water everyday. -In view of GB sludge , if no pain in upper outer quadrant of abdomen .nothing to be done right , get a LFT test done to see liver function. -Ovarian changes and fibroid  - consult your gynaecologist. -Rest keep trying to lose weight that's a good plan , keep your diet and lifestyle in control. These issues can be manageable with commitment to your health goals

Kindly share your recent Thyroid function test report.