u/Zestyclose_Appeal213

I’m a 24yr old female , with pcos .I’ve had fatty liver for a few years now my ALT has stayed around 37 to 47 and my AST has stayed below 27. However, I have never seen a specialist for only primary care and had two RUQ ultrasounds .When I was 12 weeks pregnant, my ALT was 47 and my AST was 27. That was the highest they had both been in a while. My ALT previous to pregnancy was around 33. I am now 16 weeks pregnant with my twins my ALT has gone up to 128 and my AST has jumped to 58. My OB/GYN is referring me to gastroenterology. Has this happened to anyone else with fatty liver during pregnancy? Pregnancy related issues have been ruled out . Should I be concerned ?

I’m a 24yr old female , with pcos .I’ve had fatty liver for a few years now my ALT has stayed around 37 to 47 and my AST has stayed below 27. However, I have never seen a specialist for only primary care and had two RUQ ultrasounds .When I was 12 weeks pregnant, my ALT was 47 and my AST was 27. That was the highest they had both been in a while. My ALT previous to pregnancy was around 33. I am now 16 weeks pregnant with my twins my ALT has gone up to 128 and my AST has jumped to 58. My OB/GYN is referring me to gastroenterology. Has this happened to anyone else with fatty liver during pregnancy? Pregnancy related issues have been ruled out . Should I be concerned ?

I was diagnosed with fatty liver a few months ago and got another ultrasound due to worsening upper quadrant pain , when I google these results it says fibrosis or chirosis
Is there a chance this is just fatty liver

EXAMINATION: ULTRASOUND ABDOMEN LIMITED 8/24/2026 10:28 EDT
ACCESSION NUMBER: A002706826CVHS
INDICATION: K82.8 - Other specified diseases of gallbladder
COMPARISON: July 1
TECHNIQUE: Sonographic evaluation of the right upper quadrant utilizing a multihertz transducer.
FINDINGS:
Liver: 17.0 cm in length. Coarse echogenicity. No focal mass.
Portal Vein: Patent main portal vein demonstrating hepatopetal flow.
Biliary: No evidence of intra or extrahepatic biliary ductal dilatation. Common bile duct diameter:
2.5 mm
Gallbladder: Possible sludge, but no wall thickening, or pericholecystic fluid. Negative sonographic
Murphy sign.
Right Kidney: No hydronephrosis. Focal triangular area in the midpole measuring 2.7 cm which is hypoechoic
Free Fluid: None.
ORDER #: 0824-0088 US/Right Upper Quadrant US IMPRESSION:

1. No evidence of cholecystitis or biliary obstruction. Possible gallbladder sludge
2. Coarse echogenicity of the liver, can be seen in the setting of intrinsic liver disease.

I got these ultrasound results bc I have been having more upper quadrant pain . The course echo-texture is scaring me , when I google it , it says fibrosis or cirrhosis . I have been previously diagnosed with fatty liver

EXAMINATION: ULTRASOUND ABDOMEN LIMITED 8/24/2026 10:28 EDT
ACCESSION NUMBER: A002706826CVHS
INDICATION: K82.8 - Other specified diseases of gallbladder
COMPARISON: July 1
TECHNIQUE: Sonographic evaluation of the right upper quadrant utilizing a multihertz transducer.
FINDINGS:
Liver: 17.0 cm in length. Coarse echogenicity. No focal mass.
Portal Vein: Patent main portal vein demonstrating hepatopetal flow.
Biliary: No evidence of intra or extrahepatic biliary ductal dilatation. Common bile duct diameter:
2.5 mm
Gallbladder: Possible sludge, but no wall thickening, or pericholecystic fluid. Negative sonographic
Murphy sign.
Right Kidney: No hydronephrosis. Focal triangular area in the midpole measuring 2.7 cm which is hypoechoic
Free Fluid: None.
ORDER #: 0824-0088 US/Right Upper Quadrant US IMPRESSION:

1. No evidence of cholecystitis or biliary obstruction. Possible gallbladder sludge
2. Coarse echogenicity of the liver, can be seen in the setting of intrinsic liver disease.