My abdomen ultrasound shows solid hypoechoic nodule in the liver size about 4.2 x 3.7 x 3.3 cm what the best thing to do? high sgpt fatty liver

See GI specialist.: These are the folks who get paid the big bucks to make sure the next move is the right one. You will need a variety of liver tests, perhaps more imaging and maybe even a biopsy to figure this one out.

See answer: Discuss with your dr. To make certain nothing more serious is present, however there are many possibilities including that this may just be focal fatty sparing – a benign occurrence. Mri is the most sensitive examination for further imaging evaluation.