Just diagnosed with Liver Fibrosis stage 2...

[IVIatthew]

I was having stomach pain had an ultrasound and Fibroscan, was diagnosed with liver Fibrosis stage 2 last week also a liver cyst and a gallbladder sludge ball or polyp, also some RBC blood in my urine which they thought was a Kidney Stone but did not see one, also CT scans all were fine, doc wants me to do a clinical trial in her office which I probably wont, other than that no meds have been subscribed for me. Have no idea how to deal with this.. Have had a fatty liver for many years now, used to be a drinker but not in a while and never will again..I have posted my test results below, If anyone would like to see them.. My liver blood labs have for the most part been in normal ranges for years now, with the occasional lab being off very rarely and not by much..id say maybe 3 times in a year, but for the most part all fine.. Just had a test for Hepatitis this year which came back negative.. I dont know what steps to take next.. Maybe a second opinion? Here are the test results..... I am really scared and feel like I have been handed a death sentence..thats how scared I am..

FibroScan (Done Today) (91200)

Result: fibroscan measurements: Yes; fibroscan variability: Yes; fibroscan wave margins: Yes; fibroscan CAP: 300 db/M; fibroscan stiffness: 7.7 kPa; fibroscan F score: F2; fibroscan steatosis: S3

Latest blood test:

Component Results

ComponentYour ValueStandard Range

Albumin5.3 g/dL3.5 - 5.7 g/dL

Total Bilirubin1.2 mg/dL0.3 - 1.0 mg/dL

Bilirubin, Direct0.2 mg/dL0.0 - 0.2 mg/dL

R-Specimen has low level of hemolysis which may impact accuracy of DBil results. Please take this into consideration when using this information for clinical decisions.

Alkaline Phosphatase66 IU/L34 - 104 IU/L

Total Protein8.0 g/dL6.4 - 8.9 g/dL

AST24 IU/L13 - 39 IU/L

R-Specimen has low level of hemolysis which may impact accuracy of AST results. Please take this into consideration when using this information for clinical decisions.

ALT18 IU/L7 - 52 IU/L

CT ABD / PELVIS W CONTRAST - DetailsPrinter friendly page--New window will open

About This Test

Details

Study Result

Impression

No acute abnormality. Stable L5 spondylolisthesis.

West Reading Radiology Associates

Dictation By:

Brent Wagner, MD

This report has been electronically signed by:

Brent Wagner, MD

4/8/2019 2:09 PM

Narrative

CLINICAL HISTORY: Right lower quadrant abdominal pain.

COMPARISON: 10/7/09.

TECHNIQUE: Images were obtained after intravenous contrast. The CT was performed using one or more of the following dose reduction techniques: Automated exposure control, adjustment of the mA and/or kV according to patient size, or use of iterative reconstruction technique.

FINDINGS:

There is no obstruction or free air. The lung bases show no significant abnormality. There is no significant abnormality of the liver, pancreas, spleen, or adrenal glands. The aorta is not aneurysmal. The kidneys show no hydronephrosis or significant mass lesion.

There is mild sigmoid diverticulosis without evidence for acute diverticulitis. The bladder is normal. There is no ascites or mass lesion. The appendix is normal.

There is minimal L5 anterolisthesis as a result of bilateral spondylolysis (pars defects); the findings are stable compared to a lumbar spine radiograph 2/8/18.

Ultrasound:

US ABDOMEN COMPLETE - DetailsPrinter friendly page--New window will open

About This Test

Details

Study Result

Impression

Hepatic steatosis.

1.9 mm gallbladder polyp versus sludge ball.

West Reading Radiology Associates

Dictation By:

Abin Bandyopadhyay, MD

This report has been electronically signed by:

Abin Bandyopadhyay, MD

3/28/2019 4:22 PM

Narrative

STUDY: US ABDOMEN COMPLETE.

CLINICAL HISTORY: Generalized abdominal pain.

COMPARISON: None available

TECHNIQUE: Ultrasound, abdominal, complete

FINDINGS:

Liver:

length: 16.5 cm

Appearance: Hepatic steatosis. Anechoic cyst within the right parietal lobe measuring 6.8 x 4.2 x 8.6 mm.

Gallbladder: 1.9 mm sludge ball versus gallbladder polyp. No evidence for wall thickening, wall hyperemia or pericholecystic change. No sonographic Murphy's sign.

Bile ducts:

Intrahepatic ducts: Unremarkable

Common duct diameter : 0.3 cm

Right kidney:

Size: 11.8 cm

Appearance: Unremarkable

Left kidney:

Size: 11.2 cm

Appearance: Unremarkable

Spleen:

Length: 13.5 cm

Appearance: Unremarkable

Pancreas: Unremarkable

Aorta @ IVC: Unremarkable

Ascites: None

[nash2 Partner]

Well, that is a lot of info. Remember we are not doctors so be sure to work with your care team. In general, however, the way to think about that is that you have a lot of fat in your liver and it has begun to cause scarring. At F2 it is still early and you are not helpless. You likely know that lifestyle change and diet are the only tools you have right now but those do work for a lot of people. When you care enough, food is medicine. Here is a link to how we approach the diet issue but be sure to work with your docs.

fattyliverfoundation.org/na...

There is a lot more information on the website which may help you but try not to bee too fearful as you are still in a position to help yourself.

Best

Wayne

[Danubian]

Did they miss the fibrosis in the CT? Did the fibrosis show up on the ultrasound? Thanks in advance for any answers!

[IVIatthew in reply to Danubian]

They never said I had any Fibrosis on the CT scan or the Ultrasound, I'm confused.. Only on the Fibroscan. I knew I had a fatty liver for years now, and that's what the ultrasound showed, the CT scan didn't say anything abnormal about my liver. So I don't know, it's why I'll go for second opinions.

[Danubian in reply to IVIatthew]

Matthew - how are you doing? i called up the doc Who did my MRI with contrast because your last Post got me worried! He is doctor at the MRT Center in Hamburg! Well he told me that MRI with contrast can detect fibrosis! that Put me at ease! ultrasound was OK - so were the blood Tests -

[IVIatthew in reply to Danubian]

I had a CT scan with contrast though, not an MRI. I hope you are doing well.