High total and direct bilirubin - but two fibroscans state no liver disease. what's going on, here?!

High d bili alone: When the only abnormality on thorough workup including liver function tests & liver scans is a high direct bilirubin making up approximately 50% of the total bilirubin, the diagnosis usually made is Rotor or Dubin-Johnson syndrome, rare but harmless inherited conditions. If there are any other abnormalities on tests or exam, or if medical history suggests otherwise, then many other possibilities.