Conversation: The conversation between human and AI assistant.
[|Human|] hi I had high liver tests alt 63 and ast 41 and liver ultra sound impression said parenchyma is coarsened and diffusely hyperattenuating, consistent with diffuse fatty liver. The portal vein shows normal, no ffee fluik, bile duct is 2.3 cm. I have drank alchol for many years, am 55, and  my levels on my test are up sometimes, then 18, and 30 other times since 2009. If I had cirrossis would that have shown up on the ultra sound? Also I have not been drinking alchol, not eating fatty foods, trying to loose weight, so if all tests go back to normal will this coarsening become smooth? Is this cells that show some hardening or fibrosis? Just wondering if this can heal and in 3-4 months can I have an occasional glass of wine, will this progress to fibrosis or cirrossis? Thank you
[|AI|]  Hi and welcome to Chat Doctor. Considering us finding and liver enzymes this isn't cirrhosis. It is hard to evaluate is there sign of fibrosis, but fatty liver is obvious. Fatty liver is completely reversible condition, but you must follow recommendations till it heals. These are mildly elevated liver enzymes, probably caused by alcohol, but also some other factors have impact on liver(lipids in blood, sugar in blood, overweight, viruses and toxic Chat Doctor.  IN the beginning fatty liver is treated only by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated