Your fibrosis is fine - 4.8 kPa is F0, no scarring at all. The real finding is CAP 310 dB/m, which means significant fatty
liver (roughly grade S2-S3), and that matches the mild hepatomegaly on ultrasound. Fat itself rarely causes pain, so your right-sided rib pain is more likely muscular or gallbladder/gas related and needs a separate look. At 20, this fat is fully reversible - cut
sugar, maida and fried food, walk 45 min daily, and get
LFT, fasting sugar,
HbA1c and
lipid profile done. Skip the liver tonics. Book a consult with me on Practo with your reports and I will map out a 3-month plan for you.
Next Steps
Get
LFT, fasting
sugar,
HbA1c,
lipid profile and
TSH; drop sugar, maida, fried food and any alcohol, and aim for 45 minutes of brisk walking daily plus 5-7% weight loss - CAP falls fast with that. Stop relying on
liver tonics like Adlive. If the pain becomes constant, moves to the shoulder blade or comes with vomiting after fatty meals, get a repeat scan for gallstones. Happy to review your reports on an online consult and set the diet and follow-up plan.