-gradual weight loss over 18 months ( from 16 # in April, 2014 to 13 # 2 oz in April, 2016)

-history of drooling, PU/PD, but now only PU

-dental disease (periodontitis + tooth resorption) – postponed dental procedure due to high ALT for now

-on most recent recheck (4/4/16), no outward evidence of sickness other than PU per O

-ABD US done on 2/23/16

-ALT progression; : 135 (1/15/16) –> 220 (2/23/16) –> 290 (4/4/16)

-told O we may need FNA of the liver to further define the disease and possibly reason why the weight loss

-gradual weight loss over 18 months ( from 16 # in April, 2014 to 13 # 2 oz in April, 2016)

-history of drooling, PU/PD, but now only PU

-dental disease (periodontitis + tooth resorption) – postponed dental procedure due to high ALT for now

-on most recent recheck (4/4/16), no outward evidence of sickness other than PU per O

-ABD US done on 2/23/16

-ALT progression; : 135 (1/15/16) –> 220 (2/23/16) –> 290 (4/4/16)

-told O we may need FNA of the liver to further define the disease and possibly reason why the weight loss

-no Total bilirubin or ALP increase and renal values are WNL, T4 level has been normal etc

Any input as to what might be happpening and what kind of US diagnoses can be made would be appreciated!