ultrasound showed slightly fatty liver and Fibroscan in 3 weeks shows no fat in liver cap 154 .

[2024October]

Ultrasound and Fibroscan contradict themself or magic happened :))? Also not showing cirrosis

[Smegmer]

They are 2 different tests. What was the KPA of the Fibroscan?

[2024October in reply to Smegmer]

15…18….19.0 …. June this year 65.0 …

[AyrshireK in reply to 2024October]

I take it your bloods were wildly deranged when you returned the highest of your kPa scores - from your recent tests it would appear that earlier scans were perhaps a false high and maybe this was an episode of acute liver inflammation / alcohol related hepatitis - symptoms of which can mimic those of a full on failing cirrhotic liver. There are others on the forum who have presented with what appeared to be decompensated cirrhosis only for sobriety and better living to make massive improvements resulting in improved bloods, symptoms and scan / fibroscan results.

Fibroscan can not tell the difference between inflammed liver tissue and that which is acutally fibrotic/cirrhotic. When bloods are high, fibroscan results can notoriously return falsely inflated kPa scores.

Hopefully you have indeed 'dodged a bullet' and your liver isn't as badly damaged as first feared and continued sobriety and healthy living will keep it that way.

Best wishes,

Katie

[2024October in reply to AyrshireK]

Then you so much ! Bloods is good now and yes they not sure how much scaring I have and I still don’t know if I really have this cirrosis when I asked they said yes and no and not sure :))) and next Fibroscan only in one year and ultrasound in April now ( which not showed any cirrosis last time . I don’t want do biopsy . Bilirubin was 340 April 24 now , GGT high 225 Alt and AST normal , cap liver fat 164 and was enlarged April . They say I don’t have fat now . I bit confusing yes . I lost 26 kg with healthy diet last 8 months back to my normal weight 57 and no drink from 1 April . Do I have cirrosis ?

[AyrshireK in reply to 2024October]

It's possible that you don't. Keep up the good work and hopefully all will be good next April.

[Smegmer in reply to 2024October]

A false negative on a Fibroscan, with normal bloods and someone who is still actively drinking their usual amounts is unlikely to be wrong.

But, as pointed out, with inflammtion present, the Fibroscan becomes very murky indeed. Also, now, a fair few times now, Ive seen people, without inflammation present, and still actively drinking have 10kpa. 3 months down the line without booze and they are at 4.5kpa.

I also saw an experiment with idential twins, they were tested as they were like 10 units a week drinkers. They were given a bottle of vodka each for the week, one drank it (mostly) in one night, the other drank a few shots each night to consume the bottle in a week. They did this for some months. Their bloods were tested and a Fibroscan at the end of the week. Bloods normal, in the binge drinker 5.2kpa and the few shots a night was 5.1kpa. I think its possible that the Liver may appear stiffer if its working harder and doesnt have to be inflammed to be working harder.

The Fibroscan has its technology from a device to measure the maturity of cheese in big stores of them, climate controlled too. The 1st ones couldnt see fat (CAP) from stiffness (KPA), so they updated the algorithm and then showed 2 scores. But, this is just an interpretation of the signals bouncing through the liver giving a "likely" idea of stiffness, which is then translated into a likely level of scarring. The algorithms will get better in time, and scarily, they will start to be able to combine all scan data and outcomes over time etc. But they are not perfect and there is still years of testing and papers to be written. So far, they seem to over estimate Fibrosis and can somtimes underestimate it.

Even in Skid Row Alcoholics, a study found only 10% had Liver Cirrhosis on death and it wasnt always the cause of death, it was something building.

[2024October in reply to Smegmer]

Oooh wow . I didn’t know that . I was very upset 8 mo the ago like my life finish I have bad cirrhosis forever stage F next is death maybe soon . Now I am smiling I feel good I never been even feeling sick what I eat or every morning . I have to much energy everyday and drink even one sip of alcohol cos I don’t want anymore . I was very ellow on April they were telling I am ill I couldn’t walk 10 meters was tired only in 1.5 month my face and body became normal . Now ppl not recognise me . I didn’t do booze . I know I don’t like strong ones . So I am happier now and want to live 150 years with this cirrosis 19.0 have now I want in 6 month to be 5-6 maximum . I feel a bit sorry for ppl like me think life is finish . Is not . Liver is very clever and know how to safe you and of course I don’t believe in machines like Fibroscan , is temporary and not real result . No one knows

[Smegmer in reply to 2024October]

If your bloods are good and you are feeling good, and you dont have a load of Varices, then you are in a good place, even in the face of Cirrhosis. You would be at Child Pugh A, MELD below 6 etc. You would not be a transplant consideration. The normal path is 6 monthly ultrasounds to check for Liver Cancer (chances go up with Cirrhosis), eat a Liver friendly diet, exercise, keep an eye on Varices, but carry on living, for a good 15 - 20 years. No other treament for you, which is good, people need alot of treatment when they decompensate.

[D6C2L30E-48 in reply to 2024October]

May I ask.results of ultrasound if you have had one as I'm in a simular position

[2024October in reply to D6C2L30E-48]

hi! Sure . They said slightly fatty , I was listening blood flowing sounds she said is very good for liver , they didn’t see cancer or cirrhosis. April earlier was fatty big liver . One week ago Fibroscan said 164 ( fat means ) cap and that I don’t have even slighty fatty liver as ultrasound showed .

[Anthonysmate]

The first Fibroscan I had a reading of 19 and my bloods were not good, so they had already concluded Cirrhosis. But after full examination they couldn't find any stigmatic traits associated with the condition, yes I had collapsed which wasn't good, thus why I found myself on the liver unit. But with no acities or bleeding they were perplexed and could only conclude quite cheerfully that this would all probably follow soon. I asked for biopsy, which was done, that found f3/f4 with cirrhotic bridging. But not the full monty. My current fibro reading is 7 after abstinence of two years, and diet changes, yes Fibroscan is a tool or guide to diagnosis and not the only method. Oh I've recently been introduced to exercise which " I'm getting used to" I will leave it at that.

[2024October in reply to Anthonysmate]

good new for you ! So you don’t have cirrosis now ?

[Anthonysmate in reply to 2024October]

In this country UK - F3/F4 with bridging is not classified as cirrhosis, I think they use the phrase - pre- cirrhosis. In the USA and Canada it's known as early stage. From the UK perspective I haven't had full cirrhosis officially ,but was extremely close.With F2 reading now and clear ultra sounds, good bloods- No I don't have cirrhosis.

[2024October in reply to Anthonysmate]

I am in Uk London and they say different . I am confused . So 15-19 I have now