Should I chase this?

[Neednanswers]

I wrote in another post but didn't get a response so trying again.

I'm female late 50s, non smoker, v little alcohol, not overweight but have had a lot of stressful situations to deal with for the last 30 years. I got an ultrasound due to right rib pain which showed -liver slightly enlarged, echo bright showing fatty infiltration - wedge shaped area with decreased echogenity (2.7cm by 1.9cm), in keeping with focal fatty sparing. Portal vein patent with heapatopetal flow. No free fluid.

Kidneys, pancreas, spleen, etc all normal.

Bloods more or less normal - B12, FBC, thyroid, liver. Kidney function reduced so getting redone in 2-3 weeks. Sugars highish also but not diabetic. One GP said cholesterol normal but another said it's high.

They had originally said I'd get referred to gastro but as my liver blood tests were normal, the referral was rejected by the hospital. Their advice was to reduce my sugars and exercise. A repeat ultrasound will be done in 3 years!!

Is this what should happen, or should someone be seeing me?

[Neednanswers]

Kidney repeat tests normal

To clarify, I requested a fibroscan - the hospital rejected both the fibroscan and gastro appt as bloods normal.

[AyrshireK]

It sounds like your issue would fall under the bracket of NAFLD - Non Alcohol Related Fatty Liver Disease for which there is a set criteria for diagnosis, monitoring and when/if to refer to specialists. These guidelines are detailed on the NICE website at:- nice.org.uk/guidance/ng49

As there would appear to be no derangement of your liver bloods it sounds like you could potentially reverse this fatty change by diet etc.

The BLT has lots if good resources on their website re. NAFLD.

Best wishes, Katie