I am confused can your liver be fatty and not be enlarged? I saw a general Dr who said these are two different things but everything I am reading online says mild enlarged fatty liver, like they go together. I had the U/S done because , my ALT 37 when it should be under 32. I have recently gained about 50 lbs due to stress and my TRIGLYCERIDES are over 200 and I am on a statins. I feel like I just got myself together and I am going to the gym and eating better and lost 9 lbs so far but this GP freaked me out stating your liver you should never be enlarged and we need to watch it for early signs of liver cancer. All other organs looked find and nothing else was noted on the U/S about my liver other than mildly fatty replacement and mild hepatomegaly. No mass or dilation.
Mild Fatty and mild enlarged liver - Living with Fatty...
Mild Fatty and mild enlarged liver

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jesse2121
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What about your other LFT? Checking only ALT is not enough. Please check other possible even basic tests with your dr. Maybe check your Fib-4 if you have fatty liver? That's a good start point. Not sure but direct connetion hepatomegaly with cancer it is what I have never heard about. Generally hepatomegaly might be a sign of some inflammation for many reasons (also because of fatty liver/NASH). That's my amature point of view.
To sum up I would strongly recommend seeing a good hepatologist if you have some doubts and would like to calm somehow.
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