Had an ultrasound of liver and was told it’s perfectly normal looking in every way.

If you have a diseased or fatty liver it will show up on ultrasound. You can have a fatty liver and not be one that drinks alcohol (I don't drink at all) or you don't have cirrosis of the liver and it may just be fatty. When I lost weight my Alkoline Phosphatase came back down into normal range. When I gain weight, it goes back up again.