Sorry for the long post but please bear with me. Has anyone had both of these tests and which one is the most reliable? In February I had a Fibroscan which was very quick and with only 5-6 measures taken. The Hepatologist who did the scan told me at 6.2 Kpa I just had fatty liver and to change my diet and I would be fine. I had another appointment with a different Hepatologist at a local hospital a few weeks later, due to my GP making an error and double booking. This Hepatologist was very dismissive, telling me that as my liver has been fatty for over 10 years it is unlikely to progress to anything worse. She sent me home with a booklet on NAFLD but must have had second thoughts because she then wrote to say she wanted to be on the safe side and would do an ELF test. I didn't hear anything for quite a while but last week she wrote back to say my ELF test showed I had scarring (I found out it was 9.31 which I believe is moderate fibrosis) and she has arranged for me to have an ultrasound scan. Last time I had an ultrasound was 2 years ago which just showed my liver as being fatty. My question is which method is the most reliable? Has anyone else had varying results and which proved to be the most reliable? Thanks in advance.