we rarely use liver-spleen scans anymore. the findings suggest that cirrhosis could be present but these are very nonspecific findings. definitely you should have a dual phase contrast CT scan of the liver.
all physicians who care for patients with liver disease are hopeful that down the road this type of therapy will have become part of our armamentarium and are confident that it will. however, i am somewhat less optimistic with regard the time frame.
i definitely would have a CT scan done. we don't use liver-spleen scans really anymore but this interpretation COULD be consistent with cirrhosis, although not definite.
it sounds like fatty liver as the cause of abnormal liver tests and maybe the ribcage discomfort but not your other symptoms. i am sure the doc will check a CT scan and special blood tests to exclude any other causes.