Earlier this year in Jan. I had a biopsy done. It was after I complained of RUQ pain and had abnormal blood tests. My ALP was slightly elevated at the time, + AMA's, C-RP & AFP both slightly elevated, and an US showing hepatomegaly (moderate enlargement of the right lobe). On follow-up my Dr. said I had 30% fatty liver, no inflammation and/or damage and my ALP was back to normal. I recently requested and received the written pathology report of my biopsy. It states at the top: question for PBC vs NAFLD. It also states mild steatosis ( lg droplet steatosis) 5-33%, fibrosis stage 0, no portal florid duct lesions or granulomas (portal inflammation: focal and minimal), lobular necroinflammation (minimal, focal 2). It also goes on to say negative biopsy can't exclude the possibility of early stage PBC, clinical follow-up with repeat AMA serology would be appreciated. I did ask my GP for a repeat of the AMA test a few months after the biopsy and again it was +. I know anything over 5-10% is considered fatty, but there's nothing that actually says 30%, it just gives the range. However, there sounds like there is a small amount of inflammation and my liver enzymes have been up and down since May, and at least one enzyme has been elevated on each test. I don't see the Hepa Dr. until Jan. and I'll see my GP in late Oct. Any thoughts on what they'll want do next, if anything? Will I probably end up getting another biopsy?