Bili alt ast elevated on off for a yr.other labs normal high rdw. hep viruses autoimmune disease neg . ct fatty liver us 6 mth later nothin cirrhosis?

Depends on biopsy: Cirrhosis can only be truly proven by a liver biopsy. Certain lab tests, such as bilirubin, INR, albumin, and platelets are often used as surrogate markers of liver function, and are an indirect estimator/predictor of cirrhosis. Additionally, imaging such as ultrasound or CT can suggest cirrhosis. But again, a biopsy is technically needed to prove the diagnosis of cirrhosis.