I was told a couple of weeks ago that I had PBC based on blood work. The dr. wanted a liver biopsy to stage it and to determine if I had an overlapping of Autoimmune Hepititis. So after a few weeks of being in panic mode, scared to death, and reading everything I can on the internet about PBC, the nurse calls from the Dr. office with my liver biopsy results. She says there is nothing there to indicate I have PBC. No damage, scarring, etc. She said I did have fat deposits indicating Fatty Liver and the Dr thinks that is why my blood work indicated I had PBC. Is that possible? I don't understand enough yet about what they look at in the blood to know. I do know from my reading, that alot of people are diagnosed from the blood work, and they don't have a biopsy at all. So, does anyone know if fatty liver can lead to a false PBC diagnosis? Should I seek a second opinion, because at this time he does not intend to treat me for PBC. Could it be possible that they caught it early enough that I don't have liver damage. I know when he told me I had PBC, and I read the symptoms, I was like..yep, that is me. Fatigue and itching at night. Symptoms for Fatty liver does not include itching. Also, I have this pain under my left rib, and I have read on this site where several others do also, even though, like me ,they don't know why, possibly enlarged spleen. I could use any advice you have for me and if you can recommend anything I should talk to the doctor about or questions I should ask I would appreciate it. I go see him again on 6/24. Thanks in advance for your help.