Does fatty liver show up as "suggestion of coarse echotexture" on us or does that always mean cirrhosis? All my labs and other organs were normal onus

It's not good. I'm a pathologist familiar with correlations. This is most likely the fibrosis that precedes cirrhosis. If your personal physician cannot promise that your liver is healthy, it is time to stop drinking. Even if you can, the 8-14 drinks weekly that you describe is too much. You're 59 years old and need to guard your health. Damage to your liver can regress if you stop now. Best wishes.