Sounds like a pretty unhappy liver. There are quite a few reasons why your enzymes are higher than normal, for instance with the TBIL here are some known causes (mononeucleosis, hemolytic anemia, even low levels of exposure to sun.) My father was just found to have a pretty common Liver disease called hemochromatosis which can lead to cirrhosis of the liver amongst other issues. With those levels, I'd take a real good look at what medications you take and if they can cause liver issues. Has your doctor determined the next step for you to take?
Besides an elevated ALT, your other labs are within normal range. Liver enzyme levels must be used with other blood tests, examination, and medical history.
More common causes of elevated liver enzymes include:
Certain prescription medications, including statin drugs
Drinking alcohol
Heart failure
Hepatitis A
Hepatitis B
Hepatitis C
Nonalcoholic fatty liver disease
Obesity
OTC pain medications
Other causes of elevated liver enzymes may include:
Alcoholic hepatitis
Autoimmune hepatitis
Celiac disease
Cirrhosis
Cytomegalovirus (CMV) infection
Dermatomyositis
Epstein-Barr virus
Gallbladder inflammation
Heart attack
Haemochromatosis
Hypothyroidism
Liver cancer
Mononucleosis
Muscular dystrophy
Pancreatitis
Polymyositis
Toxic hepatitis
Wilson's disease