Can alt 34 ast 31 (now, lower than 2 years ago) bilirubin 0.36, no signs of fatty liver on ultrasonography exclude cirrhosis? (concern: reddish palms)

No: However, the ultrasound would probably show it up. There need not be a reason for red palms. If you feel well, be glad. You probably should avoid alcohol and you should probably exercise. Best wishes.

Not completely: I believe that a liver biopsy is needed to fully exclude cirrhosis, although your test results are quite encouraging in excluding diffuse lever damage. Reddish palms in a male does raise concern for liver disease. Is there a history of alcohol excess or hepatitis? A gastroenterologist or hepatologist is best qualified to evaluate, advise and treat you.