Fatty liver on ultrasound, but bloodwork ok--next steps?
Hi all, I recently was having some intense stomach pain which resulted in an abdominal ultrasound to check on my gallbladder. Gallbladder ended up being fine (turns out it was just a regular old stomach bug) but the ultrasound showed my liver as "Normal size, normal shape and contour, mild increased echogenicity with homogeneous parenchyma, normal intra and extra hepatic ducts." The doctor responded saying I had fatty liver and should follow up with my primary. However, my primary said that since my ALT and AST are normal there is nothing I really need to do, other than focus on losing some weight and healthy eating. I am set to meet with a dietician soon. I asked my primary how I would know I am making progress on reversing the fatty liver damage and she said they would know by my bloodwork. When I responded that my bloodwork was already "normal", though, she didn't have a good answer but again affirmed I didn't need to be referred for any additional monitoring or testing.
While I'm happy my labs are good, I'm a little shook up by "happening" to catch this via ultrasound. Part of me would like to have more information about the state of my liver--like how bad is it? How intense do I need to be about lifestyle changes? I've already hit my out of pocket maximum this year (thanks pregnancy!) so I'm not concerned about the financial cost of seeing a liver specialist. However, I also don't want to waste any doctor's time if it really would not be helpful to get more testing or information done. This is all very new, and I would appreciate any input or advice anyone can share. Thank you!