What are the signs of alcoholic fatty liver ? scans cleared still scared skin has a spider nevi afraid?

Spider nevi from liver disease occur with advanced liver disease not just fatty liver. Cirrhosis is not the only reason to have spider nevi. What you are calling spider nevi often do not have a known cause. Visit this site for info: https://www.healthline.com/health/spider-angioma

Besides positive liver ultrasound, elevated liver enzymes, AST and ALT, especially AST, are usually high in early stage of alcoholic liver disease. Spider angioma (spider nevi) occur in late stage of alcoholic liver disease, i.e. liver cirrhosis. Furthermore, spider angioma is not a specific sign for liver cirrhosis.