Re: Elevated liver enzymes, pain under right rib cage, coarse texture on ultrasound
I will say once again you need an anti-mitochondrial antibody test. I don't think you truly have autoimmune hepatitis ruled out. The anti-mitochondrial test is also for primary biliary cirrhosis and it would be nice to have that result before you see the liver specialist. With spleen enlargement, low platellets, an autoimmune disease is high on the list. They can also check your blood for anti-platellet antibodies, present in ITP (idiopathic thrombocytopenic purpura), also autoimmune. Pancreatic enzymes have been normal?