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Hello! My name is Dr.Ehtisham. Welcome to JustAnswer. I'm reviewing your question now, and will post back with your reply momentarily.
Are you on any hormone therapy?
Thanks for the details
There is no doubt that you have gallstones and will need a gall bladder removal
But the concerning thing is the presence of multiple focal lesions in liver
They can be benign like adenoma or even a cancer
This do need further evaluation by a CT scan
That would be my recommendation as ultrasound will not be of much help to define the details of these lesion
Please do let me know if you have any other question
No there is no evidence of Cirrhosis
But tumor can develop in non-cirrhotic liver too
And some time it can be a metastasis from other site like breast or ovary
Your other lab values like hemoglobin and inflammatory markers are normal so this is a good sign but obviously you can not leave it as such and should have a CT scan
Are you with me?
Anything else you need help with?
You are welcome
I think CT scan will answer a lot of questions
If done please leave a 5-stars rating to give me credit for my service