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Doctor insights on: Ultrasound For Liver Enzymes

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Dr. Michael Gabor
2,315 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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my blood test showed abnormal liver enzymes and elevated pancreatic enzymes. Hepatitis negative. I don't drink alcohol. Ultrasound and CT negative. ?

 my blood test showed abnormal liver enzymes and elevated pancreatic enzymes. Hepatitis negative.  I don't drink alcohol. Ultrasound and CT negative. ?

Other causes: Amylase, Lipase and liver enzymes can be elevate, due many other reasons such as acute cholecystitis, biliary sludge, chronic pancreatitis or even drug induced. Imaging does not necessarily pick up small gallstones or biliary sludge. Also, clinical symptoms need to be correlated with your lab work to narrow down the diagnosis. Are you having jaundice, abdominal pain, diarrhea, cramps, etc? ...Read more

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Are liver and pancreatic enzymes always elevated with liver and pancreatic cancer?

Are liver and pancreatic enzymes always elevated with liver and pancreatic cancer?

Short answer: No: Most often if a malignant mass presses on the ductal system of liver or panc. (see picture), it can cause abn. blood enzymes. If the mass is small and ducts drain, routine enzymes are usually normal. Gilbert Syndrome, a genetic abn. of up to 7% of folks, has the significance like your fingerprints, and is discussed nicely in: http://ghr.nlm.nih.gov/condition/gilbert-syndrome ...Read more

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Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound. Dr scheduling liver& lymph biopsy.

Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound.  Dr scheduling liver& lymph biopsy.

Sarcoidosis - Liver: The most common radiographic finding of hepatic sarcoidosis is hepatomegaly. Ultrasound can show diffuse increased homogeneous or heterogeneous echogenicity in hepatic sarcoidosis appearing similar to fatty liver. Focal liver nodules (thought to represent coalescence of small granulomas) can also be seen in hepatic sarcoidosis. Liver involvement by sarcoidosis typically responds well to steroids. ...Read more

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Do i need a CT scan on my liver for elevated liver enzymes?

Do i need a CT scan on my liver for elevated liver enzymes?

Looking for a cause: The ct scan may be able to define a cause of the elevated enzymes like evidence of bile obstruction, fatty change, tumors, etc. ...Read more

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Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?

Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?

It is unclear: Hi kitten40047. The jaundice and elevated enzymes are concerning. It is reassuring to hear that the ct was negative. There may be other reasons for her symptoms. However, in the absence of any other explanation for the symptoms she has, you may want to have mom undergo additional tests, including perhaps MRI or endoscopy, which may shed more light on the pancreatic and liver areas. ...Read more

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Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?

Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it may be due to alcohol intake, medications you may be taking and/or from being overweight. If you drink, stop entirely and discuss any medications you take with your doctor. ...Read more

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Liver enzymes elevated AST 50 ALT 78 bilirubin 1.2 us showed very little fat in liver. Could this be thyroid problems? They keep fluctuating.

Liver enzymes elevated AST 50 ALT 78 bilirubin 1.2 us showed very little fat in liver. Could this be thyroid problems? They keep fluctuating.

Very little fat?: You shouldn't have fat in your liver, period. This isn't thyroid disease; everybody's levels fluctuate. If you drink alcohol, you need to stop for a few weeks and get rechecked -- this could be your wake-up call. You'll need hepatitis b and c, medication effect, hemochromatosis, autoimmune hepatitis and wilson's ruled out. If you do have non-alcoholic fatty liver, aerobic fitness is a key. ...Read more

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No alcohol. Have high liver enzymes & ultrasound shows large liver. What can I do for a fatty liver?

No alcohol. Have high liver enzymes & ultrasound shows large liver. What can I do for a fatty liver?

Listen to doc.: You are already being seen by doc who needs to give you a comprehensive program of prevention and monitoring. Should include info on lifestyle (smoking, alcohol, diet), cholesterol / triglycerides. Avoidance of hepato toxins, etc. You should also get info on your prognosis. ...Read more

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Normal pancreatic enzymes, normal liver enzymes, normal CBC, normal ESR & C-RP. does this rule out pancreatic and liver cancer?

Normal pancreatic enzymes, normal liver enzymes, normal CBC, normal ESR & C-RP. does this rule out pancreatic and liver cancer?

Why do you ask?: Why would you think you have this stuff at age 20? You've written about this before. You owe it to yourself and those who love you to get with someone who can help you out these thoughts out of your mind and get on with studying, getting job skills and experience, perhaps finding romance and meaningful things to enjoy. To be brave, act brave. You're anything but helpless. ...Read more

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Elevated liver enzymes and bilirubin on and off for 7 months is this normal with fatty liver?

Elevated liver enzymes and bilirubin on and off for 7 months is this normal with fatty liver?

Probably: It's a given that fatty liver is not normal. I trust that additional concerns -- notably wilson's -- have been ruled out, and that you're taking steps, including aerobic fitness, to keep the fatty liver at bay. I'm glad you're keeping this under close watch and hope you'll stay proactive. ...Read more

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Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

2 thoughts:: A common cause of asymptomatic elevations in liver enzymes is fatty liver(Non alcoholic fatty liver disease: NAFLD). This is very common in obesity and is considered to be part of the metabolic syndrome. Ultrasound will be "normal" (i.e. falsely negative) in 17% of patients with NAFLD. A less common cause=choledocholithiasis(stones in common bile duct). Often missed on ultrasound. Can be asymptom ...Read more

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I had fatty liver,lost weight second scan result (Liver normal size,shape,echotexture. No gallstone), is fatty liver gone? But bilirubin 47 ALT 134

I had fatty liver,lost weight second scan result (Liver normal size,shape,echotexture. No gallstone), is fatty liver gone? But bilirubin 47 ALT 134

Not sure.: without seeing all of the liver test results, it is difficult to comment on what may be happening. Obviously, with your ALT elevated, there is still something wrong. I would return to your gastroenterologist for further explanation and evaluation. Good luck. ...Read more

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Elevated amylase (250) and liver enzymes (ALT, AST). Normal abdominal ultrasound & CBC. WHat could cause this if ultrasound is normal?

Elevated amylase (250) and liver enzymes (ALT, AST). Normal abdominal ultrasound & CBC. WHat could cause this if ultrasound is normal?

See below: Why were these tests ordered? There are many causes of elevated amylase and it would require in person evaluation to ascertain the cause. You may consult this site for information on this topic: https://medlineplus.gov/ency/article/003464.htm ...Read more

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Fatty liver biopsy is it normal for doctors to do a liver biopsy for fatty liver, it was found when checking for pancreatitis?

Biopsy gold standard: In response to an earlier question i raised the issue of alcohol and overweight since these are the commonest issues in fatty liver. Please consult the following site for details on fatty liver. Biopsy is needed to confirm the diagnosis especially in a difficult circumstance. http://www.webmd.com/hepatitis/fatty-liver-disease. ...Read more

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Would liver cirrhosis show up on an ultrasound?

Would liver cirrhosis show up on an ultrasound?

Depends: Advanced liver cirrhosis may show up on ultrasound. However, ultrasound can detect fibrosis in the liver even before the development of cirrhosis. ...Read more

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Im scheduled for an ultrasound tomorow on high liver enzyme what are some ? U recommend i ask ?

Im scheduled for an ultrasound tomorow on high liver enzyme what are some ? U  recommend i ask ?

Good idea: Ultrasound will pick up whether the liver is fatty; if so, we'll want to consider alcohol, metabolic syndrome (a fitness program might be a great idea) or something similar; regardless, expect to be checked for wilson's, hemochromatosis, the viral hepatitis family, autoimmune hepatitis, and medication effect. These are all deadly if missed, but treatable if caught. Good luck. ...Read more

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Dr. Ed Friedlander
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


Enzyme (Definition)

An enzyme causes the transformation of a compoond to another compound. In living structures, it is the transformation of a protein to another form. An example is from an inactive state ...Read more