I'm having multiple odd episodes that are keeping me undiagnosed. Help

I am going to ask one question. Have you had a MRI before this for something else and did they use a dye?

Excellent advice! I don't see where this is written but if you are taking 50,000 IU of vitamin D3 per day, FIFTY TIMES the suggested dose...that could be the cause of all your symptoms. Why would you take so much? I don't understand. Excess vitamin D causes all kinds of reactions in your body. I read that it can take a year to rid your body of the excess amount of vitamin D. Have your blood levels checked,
Fatty liver is very common among those who are overweight.
I think it is important to drink plenty of water every day to flush your system and go for big walks to stimulate all your internal organs and clear your mind. Put sun screen on if you live in a warm climate so that you avoid even more vitamin D from the sun.
Good luck, John!

@johnwes5819 Somehow, I missed the info that you are taking mega doses of Vitamin D . This can be toxic! Hypervitaminosis D is NOT caused by sun exposure ( it is erroneous advice to tell you it is) nor by diet . Your body regulates the amount of vitamin D produced by sun exposure, and even fortified foods are not loaded with excess vitamin D. The problem with too much vitamin D is that it causes calcium to accumulate in your blood. Symptoms of hypercalcemia include - weakness, bone pain, kidney problems nausea, vomiting, confusion, abdominal pain.. and other symptoms from MANY different parts of your body.

@johnwes5819 I’m so sorry you’ve been going thru all of this! I strongly encourage going to a university medical center. When I was very sick last year, I begged for an MRI, but the doctors here could barely interpret it. My husband got on the phone and called University of Colorado Health. From my symptoms,etc, they put me into the neurology clinic and I’m being well taken care of. Yes, it means a long drive to Denver, but... I sure wish you luck. Let us know what happens! Becky

@slynnb @johnwes5819 I wanted to pass along something I learned from my environmental medicine doctor about Vitamin D supplements. He does test my blood vitamin D levels to optimize them, and the supplement he has me take is both Vitamin D and Vitamin K2 because the K2 is to regulate and prevent the excess calcium to be deposited in the blood stream. That supplement is from Orthomolecular, and just called K2 D3. Vitamin K is really important, and if you don't get this in your diet, it should be in your Vitamin D supplement.
Here is an explanation of how K2 inhibits the deposition of calcium on the wall of blood vessels.
https://www.nutraceuticalbusinessreview.com/technical/article_page/Vitamin_K2_new_research_confirms_essential_role_in_heart_health/114933

ALL HANDS. Please be careful about taking Vitamin K! Discuss that with your medical doctor before following any nonmedical advice. Vitamin K is an antidote for Warfarin (Coumadin), an anticoagulant that is widely used to reduce chances of blood clots forming within the heart and other parts of the circulatory system. Those clots can really damage the brain, the heart, the kidneys, and other vital organs by blocking the flow of oxygen-rich blood to those organs.

@predictable Thanks for bringing up blood thinners. Yes, absolutely discuss any supplements with your doctor, and doctors do adjust doses of Coumadin based on a patient's typical food intake. My mother in law had to avoid eating salad and greens because of the Vitamin K they contained. It wasn't that she could not eat any of it, but she had to be consistent, so that her daily dose of Coumadin would be correct. My mom takes a different blood thinner, Eloquis , and this isn't an issue for her.

@predictable. Seriously? Vitamin K is an ANTIDOTE for Warfarin/blood thinners???? Please confirm.

This is to confirm what I said earlier: Vitamin K is the most common antidote for Warfarin (Coumadin). I say this with personal knowledge, being a user of Warfarin for more than four years and having "enjoyed" a stroke when I got careless with my Coumadin doses last summer. Martin

It is usually very frustrating when there are symptoms but all labs are normal. On the other hand, normal labs are encouraging, indicating major body systems are functioning well despite whatever process may be going on. We do not know you medical history, family history, social history or travel history. The episodes you described, as you mentioned, do not clearly point to a specific diagnosis. If we were to only go by US findings of liver, and intermittent chills plus a variety of vague symptoms:

Unusual causes of paranchymal liver disease on imaging may include metabolic disorders like Hemochromatosis or Wilson's disease or Autoimmune disease. Earlier stages could be hard to diagnose. Dr Vupalanchi is a good hepatologist at St Vincent Hospital.
When dealing with fluctuating unexplained chronic symptoms it may be appropriate to evaluate your home and work environment for potential exposure to toxins through water, air vents, car, medications, partners or food. Your travel history may have exposed you to diseases doctors in Indiana do not look for, like malaria that can cause intermittent chills. About 12 years ago it affected a number of people in Chicago. Ask your primary provider for related testing or consider consulting an Infectious disease specialist for chronic viruses that my reactivate causing vague symptoms including chills like ebv. Lyme and Erlichiosis disease may be hard to diagnose. Lyme antibody will be negative for many weeks after an infection so early negative labs may be false. Since you live in Indiana, consider seeing Dr Misra at IU, infectious disease.
Dr Imad Shawa is an internist/pulmonologist/critical care doctor affiliated with st Francis Hospital in Indiana. He is very experienced in work up of complicated or unusual cases. However he primarily sees pulmonary patients in private practice.
If no clear diagnosis is made, an option is to optimize healing ability of your own body by trying a "lifestyle medicine program" while you continue your search Avoid alcohol to protect your liver. Best wishes.