MRCP2-1901

MRCP2-1901

A 45-year-old woman presents with abnormal liver function tests discovered incidentally. She denies any history of excessive alcohol consumption and has no prior medical conditions. There is no family history of liver disease. On physical examination, there are no signs of chronic liver disease, but her liver is palpable 3 cm below the right costal margin. Her blood work reveals a hemoglobin level of 130 g/L (130-180), MCV of 94 fL (80-96), WBC of 5 ×109/L (4-11), platelets of 200 ×109/L (150-400), CRP of 10 mg/L (<10), bilirubin of 15 µmol/L (1-22), ALT of 310 U/L (5-35), ALP of 130 U/L (45-105), AST of 260 U/L (1-31), and GGT of 100 U/L (4-35). Her albumin level is 37 g/L (37-49). An abdominal ultrasound scan shows an enlarged liver with diffusely increased and heterogeneous echogenicity. What is the likely diagnosis?