Welcome to icliniq.com. I have read through your query and attachments in detail. (attachments removed to protect patient identity)
Please find my observations below.
Having gone through your reports in detail, cirrhosis is unlikely as your most recent ultrasound done on 1st December 2014 shows normal liver and doppler. Your liver function tests are also in normal range in the last one year.
Cirrhosis is an advanced condition in which the liver undergoes irreversible fibrosis and this occurs over a time period. Your results do not indicate cirrhosis in any way.
Kidney function is assessed by doing serum creatinine and blood urea levels. I suppose your kidneys were also visualized in December 2014 ultrasound and were found to be normal. To know more accurately about the kidneys I recommended doing serum creatinine test and blood urea. However it is most likely that your kidneys should be working normally. The kidneys are located deep inside and cannot be felt from the front side of abdomen, therefore it is not possible that your kidneys were felt.
It is possible that when he by chance pressed the liver area, your muscles in the anterior abdomen were contracted and mistaken for stiffness. With normal liver function tests and recent ultrasound scan being normal it is extremely rare for you to have cirrhosis.
There is a way to measure the stiffness of liver by ultrasound and it is called liver stiffness measurement by transient elastography.
Medical literature says that liver stiffness measurement has proved to be an useful and specific procedure to screen for cirrhosis in the general population and to detect undiagnosed chronic liver disease in apparently healthy subjects.
The above ultrasound technique is a special ultrasound method and you can get it done to for a more accurate evaluation of liver stiffness and clear your doubt.
Revert back to an internal medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Thank you very much for your detailed analysis and answer.
My kidneys are fine. I am only worried about my liver. There is no fibroscan in my city.
I still have the following questions:
I will be happy for your comments on these points.
Welcome back to icliniq.com.
Please find my observations below.
Consult an internal medicine sphysician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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