Enlarged Fatty Liver

Glad I found this group. Thoughts? I had an ultrasound 2 years ago and just reviewed it as we switched insurances and going to new dr. My primary care doctor NEVER mentioned anything to me. Overweight 5.6 female weigh 213. I have dr appt soon. Also ultrasound and cat scan from 2016 of my liver was normal, no findings so this is pretty new.

Ultrasound report

The liver is normal in contour with increased echogenicity. There is no evidence of solid mass lesion. The liver measures 19.39 cm.

Intrahepatic IVC is patent.

The portal vein is patent with hepatopetal flow.

Just did bloodwork late last week. ALT 45, AST 28 All other labs normal but just above normal BUN/creatinine 27 and Albumin 5.1

Thoughts? and where is liver pain usually, can it be by flank area/my hip bone? I have some lower right abdominal discomfort.

Would love to know your thoughts? Could this still be NAFLD or do you think it is NASH?

[Alterity]

You could be in early stages. Blood worked doesn't always show it. Ultra Sound and MRI's are the best way to check it out. Pain usually higher right at the ribs on right side, Stay away from beef. Glad your going to new Dr. a lot of Dr. no nothing about fatty liver or NASH.

[nash2 Partner]

Well, yur values aren't high but ultrasound and ct don't do well at diagnosing NAFLD. The ultrasound may suggest it in the echogenicity and enlargement so it is good to try to get a FibroScan as one way to look at liver stiffness. Right upper quadrant pain is a common symptom but NASH isn't the only possible cause but the right course is to get an answer to possible fibrosis but it may not be easy for you to get your docs to take it seriously. Many of us have had to go to multiple docs to get the testing done.