A member asked:

Ct scan tell difference between mild fatty liver infiltration vs cirrhosis? alt 142 ast 77

3 doctors weighed in across 2 answers
Dr. Daniel Kessler answered

Specializes in Family Medicine

Depends: It depends on appearance of liver. With cirrhosis the liver may appear more nodular in appearance versus smooth echo texture but to truly determine whether or not cirrhosis is present or to what degree your liver has been damaged you need a biopsy.

Answered 9/7/2013

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Depends....: Classic definition of fatty infiltration of the liver (ie, hepatosteatosis) is a 10 hounsfield difference of attenuation between liver and spleen on an unenhanced ct. Secondary sequela of cirrhosis can be demonstrated on a ct such as macrolobulated border and nodule formation as well as sequela of portal hypertension. However, fatty liver and cirrhosis can co-exist and a biopsy can differentiate.

Answered 4/3/2016

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