First - just sharing this because we ALL go through weird test results, and shit happens. So I'll post this from the beginning, and follow up as I get more information - as well as asking if anyone else has had abnormal liver function tests and what happened.
I connected with a new PCP in my new city a couple of weeks ago, and he insisted on running all my labs again. My only real complaint is lack of appetite and having trouble eating enough, especially protein, as well as general lack of stamina (which is probably due to my lack of sufficient physical activity).
I got a call today from a local radiology office to make an appointment for an abdominal U/S. Naturally, I asked why, because I hadn't seen my LFT results come in yet on my portal. Well, apparently, the message from the doctor regarding that set of labs didn't get sent, so I didn't see them. We got that straightened out, and I'm having the test on Wednesday.
Over the last 13+ years, my levels have occasionally been at the top of normal or slightly over. I had an U/S in 2011, just to be sure. This time, two of them are quite high:
7/10 1/11 7/11 7/12 4/13 7/13 7/14 4/15 7/15 7/16
Alkaline Phosphatase
26 - 137 U/L
102 124 119 112 93 104 98 101 110 102
ALT
0 - 60 U/L
91 H 70 H 40 49 37 38 29 69 H 75 H 67 H
AST
0 - 37 U/L
45 H 37 18 23 19 23 14 25 35 44 H
My labs last week (ranges are slightly different):
ALKALINE PHOSPHATASE, S
39-117 IU/L
93
ALT (SGPT)
0-32 IU/L
162 Above High Normal
AST (SGOT)
0-40 IU/L
136 Above High Normal
So those numbers are significantly high.
I'm not drinking much - not even remotely every day - maybe 3 drinks/week. I'm not taking statins - just thyroxine, Protonix, a smidge of Adderall and 1/2 Lunesta and 0.5 mg Ativan to fall asleep. Hardly a pharmacy's worth of meds.
I had a liver U/S in 2011:
I had a CT scan in 2014 for blood in my urine (turned out to be nothing). The following were the incidental findings:
I connected with a new PCP in my new city a couple of weeks ago, and he insisted on running all my labs again. My only real complaint is lack of appetite and having trouble eating enough, especially protein, as well as general lack of stamina (which is probably due to my lack of sufficient physical activity).
I got a call today from a local radiology office to make an appointment for an abdominal U/S. Naturally, I asked why, because I hadn't seen my LFT results come in yet on my portal. Well, apparently, the message from the doctor regarding that set of labs didn't get sent, so I didn't see them. We got that straightened out, and I'm having the test on Wednesday.
Over the last 13+ years, my levels have occasionally been at the top of normal or slightly over. I had an U/S in 2011, just to be sure. This time, two of them are quite high:
7/10 1/11 7/11 7/12 4/13 7/13 7/14 4/15 7/15 7/16
Alkaline Phosphatase
26 - 137 U/L
102 124 119 112 93 104 98 101 110 102
ALT
0 - 60 U/L
91 H 70 H 40 49 37 38 29 69 H 75 H 67 H
AST
0 - 37 U/L
45 H 37 18 23 19 23 14 25 35 44 H
My labs last week (ranges are slightly different):
ALKALINE PHOSPHATASE, S
39-117 IU/L
93
ALT (SGPT)
0-32 IU/L
162 Above High Normal
AST (SGOT)
0-40 IU/L
136 Above High Normal
So those numbers are significantly high.
I'm not drinking much - not even remotely every day - maybe 3 drinks/week. I'm not taking statins - just thyroxine, Protonix, a smidge of Adderall and 1/2 Lunesta and 0.5 mg Ativan to fall asleep. Hardly a pharmacy's worth of meds.
I had a liver U/S in 2011:
Indication: Elevated liver enzymes, status post cholecystectomy 2003
Comparison: None
Report: The pancreas is normal in appearance, partially obscured at its tail by bowel gas. The abdominal aorta is normal in caliber. Slight increased hepatic echogenicity, borderline with questionable suggestion of mild steatosis. No suspicious focal hepatic lesions. Normal hepatopetal portal venous flow. No ascites. Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation. Spleen is normal in size and appearance. The inferior left kidney demonstrates a tiny 4 mm probable tiny cyst, though difficult to definitively characterize sonographically. The right kidney measures 10.4 cm and the left measures 10.6 cm in maximal longitudinal dimension and are otherwise unremarkable.
IMPRESSION:
1. Very mild increased hepatic echogenicity, suggestive of possible mild hepatic steatosis. Recommend clinical and laboratory correlation.
2. 4 mm probable tiny left renal cyst, though difficult to definitively characterize. Limited follow up ultrasound could be obtained in 6-12 months to monitor stability.
3. Status post cholecystectomy.
Comparison: None
Report: The pancreas is normal in appearance, partially obscured at its tail by bowel gas. The abdominal aorta is normal in caliber. Slight increased hepatic echogenicity, borderline with questionable suggestion of mild steatosis. No suspicious focal hepatic lesions. Normal hepatopetal portal venous flow. No ascites. Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation. Spleen is normal in size and appearance. The inferior left kidney demonstrates a tiny 4 mm probable tiny cyst, though difficult to definitively characterize sonographically. The right kidney measures 10.4 cm and the left measures 10.6 cm in maximal longitudinal dimension and are otherwise unremarkable.
IMPRESSION:
1. Very mild increased hepatic echogenicity, suggestive of possible mild hepatic steatosis. Recommend clinical and laboratory correlation.
2. 4 mm probable tiny left renal cyst, though difficult to definitively characterize. Limited follow up ultrasound could be obtained in 6-12 months to monitor stability.
3. Status post cholecystectomy.
I had a CT scan in 2014 for blood in my urine (turned out to be nothing). The following were the incidental findings:
Multiple sutures and clips are noted along the stomach and gastroesophageal
junction, consistent with previous partial gastrectomy there also appear to be
sutures along the right side of the liver. The liver and spleen are normal in
size and contour and demonstrate homogeneous attenuation, without focal or
diffuse abnormality. The pancreas and adrenal glands are unremarkable. The
gallbladder is nonvisualized and may be surgically absent. The abdominal aorta
is normal in caliber. No lymphadenopathy is appreciated, although there are a
few nonenlarged mesenteric, retroperitoneal, and inguinal lymph nodes. No free
or loculated fluid collections are identified. There is a line of anastomotic
sutures surrounding a bowel loop in the anterior midabdomen. The unopacified
small and large bowel appears otherwise grossly unremarkable. There is a 2.2 cm
wide focal defect in the left anterior abdominal wall just to the left of
midline, just above the level of the umbilicus, through which some mesenteric
fat probably extends. A smaller defect in the upper midline anterior abdominal
wall is also noted, which also contains fat.. The lung bases are clear. Minor
degenerative changes of the lumbar and visualized lower thoracic spine are seen.
Osseous structures appear otherwise intact.
So, hmm, wonder what all this means? I am of course consulting Dr. Google ... to my detriment.junction, consistent with previous partial gastrectomy there also appear to be
sutures along the right side of the liver. The liver and spleen are normal in
size and contour and demonstrate homogeneous attenuation, without focal or
diffuse abnormality. The pancreas and adrenal glands are unremarkable. The
gallbladder is nonvisualized and may be surgically absent. The abdominal aorta
is normal in caliber. No lymphadenopathy is appreciated, although there are a
few nonenlarged mesenteric, retroperitoneal, and inguinal lymph nodes. No free
or loculated fluid collections are identified. There is a line of anastomotic
sutures surrounding a bowel loop in the anterior midabdomen. The unopacified
small and large bowel appears otherwise grossly unremarkable. There is a 2.2 cm
wide focal defect in the left anterior abdominal wall just to the left of
midline, just above the level of the umbilicus, through which some mesenteric
fat probably extends. A smaller defect in the upper midline anterior abdominal
wall is also noted, which also contains fat.. The lung bases are clear. Minor
degenerative changes of the lumbar and visualized lower thoracic spine are seen.
Osseous structures appear otherwise intact.
