Incidental Fatty Liver on Imaging: What Should You Do Next?

When fatty liver appears incidentally on imaging, "just lose weight" isn't enough. Dr Brandman explains how to use FIB-4, FibroScan, and ELF to triage who needs referral and who doesn't.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/ca8/p04/podcast-masld-s1-ep3-2026a1000aav. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Metabolic Dysfunction-Associated Steatotic Liver Disease and Steatohepatitis https://reference.medscape.com/cc2/p10/global-consensus-recommendations-metabolic-dysfunction-2025a1000iy5#1

Steatotic Liver Disease (SLD) https://emedicine.medscape.com/article/175472-overview

MetALD: Clinical Aspects, Pathophysiology and Treatment https://pubmed.ncbi.nlm.nih.gov/39897615/

Cirrhosis https://emedicine.medscape.com/article/185856-overview

The Role of FibroScan in the Era of Metabolic (Dysfunction)-Associated Fatty Liver Disease https://pmc.ncbi.nlm.nih.gov/articles/PMC10209980/

Magnetic Resonance Elastography of the Liver: Everything You Need to Know to Get Started https://pmc.ncbi.nlm.nih.gov/articles/PMC9538666/

A Noninvasive Scoring System for Liver Fibrosis in Patients With Metabolic Dysfunction-Associated Fatty Liver Disease https://pubmed.ncbi.nlm.nih.gov/39131248/

Enhanced Liver Fibrosis Score for Diagnosing Liver Fibrosis in Chronic Hepatitis https://pmc.ncbi.nlm.nih.gov/articles/PMC11240480/

Viral Hepatitis https://emedicine.medscape.com/article/775507-overview

Autoimmune Hepatitis (AIH) https://emedicine.medscape.com/article/172356-overview

FibroSURE as a Noninvasive Marker of Liver Fibrosis and Inflammation in Chronic Hepatitis B https://pubmed.ncbi.nlm.nih.gov/24990385/

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