Stage 2 fatty diagnosed in ultrasound but LFT Blood test are normal. What does this means?

[Quickquestion]

Fatty liver, LFT

[GrandmaDylan]

I have cirrhosis and my LFT's are virtually normal. I would speak to your gp as to where you go from here. I had previously been told that I had fatty liver but it was nothing to worry about as half the population has it! This was from a gp and also from the sonographer. Good luck. Deb

[Hidden]

It suggests that your fatty liver has progressed beyond the harmless stage 1 to the next stage NASH & if you don't take steps to reverse it you risk your liver becoming progressively scarred (fibrosis) until it eventually becomes cirrhotic. You need to lose weight, get fit, cut down on your fat & sugar intake, clean up your diet & do everything you can to rid your liver of the fat infiltration. A FibroScan to see if you have any fibrosis would be worth doing.

Your GP should have warned you of the possible consequences of not taking action to reverse it but not all GPs do this.

It used to be that the only way you could tell the difference between harmless fatty liver & NASH was a biopsy as the following quote from Melissa Palmer's book indicates however since the book was written new tests such as FibroScans have been invented that enable checking for NASH without a biopsy.

Dr. Melissa Palmer's Guide To Hepatitis and Liver Disease:

"Nonalcoholic fatty liver disease is the most common liver disease in the United States. It consists of two stages—a fatty liver and nonalcoholic steatohepatitis (NASH). The only way to distinguish between these two stages is by looking at a sample of liver tissue under a microscope after a liver biopsy has been performed.

The medical term for a fatty liver is hepatic (liver) steatosis (fat). A fatty liver is considered a benign (harmless) condition characterized by fat deposits in liver cells (hepatocytes). This is a reversible condition and does not have the potential to lead to cirrhosis, liver failure, or liver cancer.

NASH is when a fatty liver has progressed to something worse—namely, inflammation (steatohepatitis) and scarring (steatonecrosis) of the liver. Unlike a fatty liver, NASH is not considered a harmless condition, but rather a liver disease with the potential to cause cirrhosis, liver failure, and liver cancer."