Thank you very much...just curious what made you think I was very close to a transplant...asking since you have been through that and so I am curious what other than ascites made you think that? Here are some more details since you have been through all this maybe you have advice or thoughts? I am apparently stopped for progress and knock wood - my ascites seems under control with the diuretics anyway. My bloodwork all went back into range pretty much within 2 1/2 weeks of abstaining from alcohol and I fortunately have had all along no other symptoms at all. I look healthier and feel great - appetite and skin and nails are all good..it is hard to believe I have this going on if the ascites did not happen. I have no idea what to think at this point - clearly I have liver disease but what level I am still not sure although my GP says early cirrhosis...my Fibroscan shows what would be fibrosis 2...My ultrasounds twice have said fairly homogeneous with normal echogenicity and portal veins: Normal hepatopetal flow within the portal vein with a PSV of 25 cm/s and TAPV of 23 cm/s. Normal directional flow within the hepatic veins and splenic vein...
The last elastology was 9.0 kPa and the radiologist put:
Liver: Hyperechoic liver fairly homogeneous, although there is mild contour irregularity at the subcapsular areas of the liver which could be in keeping with underlying chronic hepatopathy such as early cirrhotic/fibrotic change. Measures 15.3 cm in sagittal dimension. Normal echogenicity.
Median Elasticity: 9.0 kPa
IQR/Median: 13%
Median Speed: 1.73 m/s
IMPRESSION
Hyperechoic liver in keeping with steatosis, although there is minimal irregularity of the liver contours today and as seen on the previous study dated October 30, 2023. Allowing for this, underlying early cirrhotic change would not be excluded