A member asked:

What other than biopsy to detect nash or nafld if ultrasound was negative and alt was average 120 for more than 7 months.fully neg workup 24y m.bmi 20?

3 doctors weighed in across 2 answers
Dr. Kerry Friesen answered

Specializes in Preventive Medicine

ALT and HCV: Ultrasound when performed properly is an excellent test for both nafld and/or nash. You do not have the characteristic risk factors for fatty liver, although I have observed it in normal weight vegetarians. You state that a previous work-up was negative. I would want to know specifically if you were tested for viral hepatitis, especially hepatitis c. Ask for hcv RNA pcr.

Answered 6/10/2014

5.2k views

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Dr. Anthony Filly answered

Specializes in Radiology

MRI: Another noninvasive test would be MRI with in and out of phase imaging.

Answered 6/10/2014

5.2k views

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