Liver area pain, 2 yrs - blood tests normal (elvated ast/alt), ultrasound results normal. Pain when working out, after drinking, or hookah tobacco. Why?!

Other possibilities. Because your pain is in the area of the liver, it still may have another source. The right kidney is behind, the large intestine is in front. The pancreas and duodenum/stomach are under and next to. You have ribs above and around, and muscles on all sides. With the normal liver tests, you should work with your doctor to find the source - don't forget the ribs and muscles (working out pain?).