Conversation: The conversation between human and AI assistant.
[|Human|] My father has abnormally high monocytes with the blood draw under the CECW-DIFF Under the Differntial Morhtology his MPV was also abnormaly high the CMV revealed his ALT/SGTP and AST/SGOT to be high. He has gpne from family dr. to Hemetologoist now to Pathologist with a Bone Marrow Test due tm at 9am. All signs to me point to possible Fatty Liver. But I am not a Doctor. Why are they doing a Bone marrow and not a CT or MRI of the liver first? What are the other possiblilities that would lead them in the directioon of Bone Marrow before simple CT or MRI?
[|AI|]  Hi thanks for asking question. Here you have not mentioned full report with total count number and PS finding. Monocytes are high. So if blood report cant identify malaria parasite and high suspicion of chronic infection then bone marrow useful in identify malaria or tuberculosis like condition. If count high or PS shows atypical cells bone marrow useful for identifying subleukemic AML. For fatty liver USG is helpful. For liver mass identification yes CT can be done. Decision has to be taken after physical examination and detailed history for doing biopsy. You can consult another doctor nearby before biopsy for taking second opinion. Chat Doctor.