Ultrasonography detects nodularity and echogenicity

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A 45 year old patient with a history of alcohol use disorder has developed weakness, fatigue, loss of appetite, weight loss and physical exam reveals ascites, hepatosplenomegaly, spider nevi, clubbing, and dupuytren contracture. His ALT/AST ratio is 2.7 and hemoglobin is 8.8 mg/dL. His MCV is 104 and ultrasonography detects nodularity and increased echogenicity of the liver. Which of the following would confirm a diagnosis of the suspected condition in this patient?

Reference no: EM133250818

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