Hello, I am 43 year old male. 185 pounds, non smoker, non drinker. exercise all the time. I was recently diagnosed with hepatitis A. I had flu like symptoms, then turned yellow. went to the ER and they admitted me for 3 days. my liver enzymes were 2,500 and 1,200. They did a ULTRASOUND ABD RT UPPER QUADRANT on me and the results came back clear. The liver results were echotexture :normal, homogeneous echogenicity: normal surface contour :smooth leisons none. I have been doing weekly blood work for a metabolic panel and every week my enzymes have been coming down. my values are currently protein total 7.4 albumin 4.5 calcium 9.1 total bilirubin 2.0 [this was 21.3 when I was admitted in the hospital] alkaline phosatase 73 AST 65 [this was over 1000 when I was yellow] glucose 73 bun 12 creatinine 0.93 sodium 137 potassium 3.8 chloride 98 c02 26 anion gap 13 ALT 119 [this was 2,500 when I was admitted in the hospital] GFR above 60 as thats as high as the hospital checks for. prothrombin time is 12.8 [clot time] I tested positive for ANA but then they ran a bunch of antibody tests to check for the autoimmune issues that can hurt the liver. all of those antibodies came back neg. including smooth muscle ab panel [neg] Lkm ab neg. anti dna screen :came back good. anti ena id panel sm antibody -came back good rnp antibody came back good ssa antibody came back good ssb antibody came back good centromere ab came back good scleroderma ab,igg came back good ribosomal p protein ,igg came back good XXXXXXX 1 antibody came back good chromatin antibody came back good my CBC panel came back with everything in range... Almost 8 weeks since I was admitted in the hospital and im back to workingout, working, and my color and eyes are 100% cleared up. my high values should normalize with in the next 2 weeks I believe. My big concern is I had a fibroscan while I had a lot of inflammation in my liver since my enzymes were in the low 300 range when I had this done. they told me the test shows signs of F4 fibrosis. ive read a lot about you will get high readings with the liver being inflammed but I don't know myself. The 2nd ultrasound the liver doctor did in the hospital was a doppler ultrasound which showed mild spleenomagly as well as it says main portal vein is mildy prominent measuring 1.6cm [1.0 to 1.5cm is the normal range I have been reading] also says non specific but can be seen with mild portal hypertension. The 3rd ultrasound the liver doctor did was a vascular ultrasound of the liver. this showed everything flowing good and in the right direction. im so confused as to the ultrasound abd rt upper quad says everything looked good. And all my symptoms with the onset of HEP A. I tested neg for hep b and neg for hep c. but they did a HEP A test to see if I was positive with a current infection of the virus or was it an old infection showing I had it at one time. the results show I currently had it. I have ran all the information by a outside liver doc and they suggest I do not have chronic liver disease. up until feb 14th 2020 ive never had any sign or anything. Im just not sure if I actually have heavy fibrosis / cirrhosis or is all the inflammation from the HEP A messing everything up. My ultrasounds were all done at the time of my liver enzymes at 2,500 and 1,200 my AST was elevated way more than my ALT during this last 8 week situation. My liver doctors assistant said the liver doctor is not sure if the bad fibro reading is due to the liver inflammation . So that got me reading and thinking. She also said the heavy inflammation can cause a spleen to enlarge also. But this mildy prominent portal vein im not sure of. I did however apply for life insurance in December of 2018 and I looked at all my detailed blood work and it all looked good. all normal values which was just over a year ago, so I am not someone that has had high enzymes or had no idea what my values were. so glad I had the life insurance exam to review from just over a year ago. Hope I have given enough details to review this situation.