I went for a routine Drs visit. My AST was at 56, and my ALT was at 55. Just a few points over normal. My Dr. Ordered a liver ultrasound. She found a 1.9 cm. cyst on my liver and said the outer part of my liver looked, I think the word she used was coarse. I am seeing a Gastroenterologist. But, they are making me feel as if I should say my goodbyes and plan my funeral ! I also was told I had a fatty liver probably 10 years ago, I am overweight, and I have Hashimotos Thyroiditis. I take an Effexor daily (for 15+ years) and for the last year and a half, I take syntheoid. Otherwise I feel fine.