Hepatocelluar disease likely caused by fatty liver

[Careful35]

Hello everyone. I have been having TONS of symptoms since March and have been going through testing for them still but I am concerned about my liver.

2 months ago I noticed I started getting these purplish looking raised spots on my skin with tiny veins going away from the center, (I later found out they are called spider nevu).. around the same time I noticed I had suddenly developed little what look like broken veins on my face, around my nose, mouth and chin. I found out later these are called Telangiectasia. I thought these things were strange but I have had so much other stuff going on that I sort of put it to the back of my mind as I already had a scheduled dermatologist appt for a cyst on my back and figured I would ask him about these things when I saw him but 16 days ago the palms of my hands suddenly turned red which I later found out was called Palmer erythema. At this point i started wondering what the heck is going on with my skin. So I called and had my dermatologist appt moved up.

I see him and discuss my cyst and start pointing out all these odd things and he points out some things to me like small brown spots, small white spots and some skin discoloration. I also told him that I thought it was strange that all my normal veins that I normally couldn't see before are showing through now. He advised me to go to my PCP for some blood work because these things are seen in liver disease.

I go and have blood work which I'm told came back olay but I insist there must be a reason all these things started popping up. I had a ct scan w/o contrast of my abdomen start of May for something else that said my liver was enlarged at 20cm but it appeared to be something called Riedels lobe verses true hepatomegaly. So after I saw the dermatologist I requested an ultrasound and had it done on last Tuesday. On Thursday morning I get a call from a nurse at my Drs office telling me my ultrasound was normal other then fatty liver which could be from diet or my weight but that if I was still having abdominal pain they could refer me to a gastro. I accepted the referral because in 2010 I had my gallbladder removed but still have the same sort of pain only not as severe.

I decided to go up to the Drs office to get a copy of the report so I have it for the gastro appt on August 16th. The report reads "diffuse increased echogenicity of the liver suggesting hepatocelluar disease likely caused by fatty liver"... I am not a Dr but to me it sounded like I have some sort of liver disease likely caused by fatty liver. I called the Drs office because now I want clarification.. unfortunately, I was just told the same thing and that I could discuss things with the gastro... I have been told that just fatty liver wouldn't cause all my skin symptoms..

I decided to go to thr hospital that did my ultrasound in 2010 where they found the gallstones to get a copy of the report and the report says I had gallstones and fatty liver... hmmmm no one ever told me this!!

I drank heavily in my 20s, I developed a drinking problem and I drank daily sometimes an entire 5th of brandy throughout the day and sometimes more. I stopped drinking about 7 or so years ago and have not had a drink since. I don't have a good diet, I am 5"1 and weigh 196 pounds. I take narcotic pain meds daily and have for several years now. I also was taking Advil daily and then Advil and Tylenol daily for about 6 months. I was taking 2 Tylenol every 4 or 6 hours for months. I didn't know Tylenol shouldn't be taken like that but when I found out a month ago I threw it away.
I have started a healthy diet and am starting to excersise in hopes that I can help my liver though part of me is worried i may have damage that can't be reversed. I have been told my liver enzymes are good. I had the comprehensive metabolic panel done and a lipase test but that is all. I have had high triglycerides since I was 10 years old and was just recently given meds to lower them this week. My good cholesterol is low but my bad cholesterol is good or within normal ranges.

I am worried about all these skin symptoms, I have am being worked up by a nuerologist for some neurological symptoms and I'm starting to now wonder if it's related. I read about the Palmer erythema and it says liver disease or can be also from a solid tumor growth which I found a lump on the left side of my ribs a few weeks before Easter while I the shower. It can be felt and is uncomfortable but I had a chest x ray and ct scan of my chest and abdomen but whatever this lump is it didn't show. I was set for a an ultrasound but then got a call saying it was cancelled because they can't ultrasound bone.. the lump isn't a bone but it's like my Dr won't listen to me about the lump since it didn't show up on the scans. When i read that the red palms could be caused by liver or tumor I got even more scared. I have the other skin symptoms for liver so it's probably likely they are from the liver too but either way I'm worried.

Is there anyone familiar with this here? What questions should I be asking? What can I do to help myself. I don't want to go googling as I know that will likely cause me to freak out. I'm sorry my post is so long but i did thank whoever took the time to read it.. I am a 35 year old female if by the way.