I now have everything needed to give a thorough, well-sourced interpretation. Here is your FibroScan report breakdown:
FibroScan Report Interpretation
Your Two Values at a Glance
| Parameter | Your Result | What It Measures |
|---|
| Liver Stiffness (LSM) | 11.9 kPa | Fibrosis (scarring) |
| CAP Score (UAP) | 376 dB/m | Steatosis (fat content) |
1. Liver Stiffness - 11.9 kPa (Fibrosis Assessment)
Liver stiffness is graded on the METAVIR scale (F0-F4):
| kPa | METAVIR Stage | Meaning |
|---|
| < 5.5 | F0 | No fibrosis - healthy |
| 5.5 - 7.0 | F1 | Mild fibrosis |
| 7.1 - 9.5 | F2 | Moderate fibrosis |
| 9.6 - 12.5 | F3 | Severe/Advanced fibrosis |
| > 12.5 | F4 | Cirrhosis |
Your result of 11.9 kPa falls in the F3 range - significant/advanced fibrosis, but not yet cirrhosis.
From Harrison's Principles of Internal Medicine (2025): cutoffs for alcohol-associated liver disease show >8 kPa = advanced fibrosis (≥F3), and >12.5 kPa = cirrhosis (F4). At 11.9 kPa you are just below the cirrhosis threshold but in a high-risk zone.
Important note: Stiffness can be temporarily elevated by active inflammation, recent eating, heart failure, or liver congestion - not just scarring alone. The result should be interpreted alongside blood tests and clinical context.
2. CAP Score - 376 dB/m (Fat/Steatosis Assessment)
The CAP score (sometimes labeled "UAP" on some reports) measures fat content in the liver:
| CAP Score (dB/m) | Steatosis Grade | % Liver Affected |
|---|
| < 238 | S0 | Normal (< 5%) |
| 238 - 260 | S1 | Mild (11-33%) |
| 260 - 290 | S2 | Moderate (34-66%) |
| > 290 | S3 | Severe (> 67%) |
Your CAP of 376 dB/m is well into the S3 (severe steatosis) range - meaning more than two-thirds of your liver tissue has significant fat accumulation. This is consistent with Non-Alcoholic Fatty Liver Disease (NAFLD) / Metabolic-Associated Steatotic Liver Disease (MASLD) or alcohol-related fatty liver.
3. Combined Picture - What This Means
You have two simultaneous liver problems:
- Severe fatty liver (S3) - heavy fat infiltration
- Advanced fibrosis (F3) - significant scarring, approaching but not yet at cirrhosis
This combination is a serious finding. It suggests a condition like NASH (Non-Alcoholic SteatoHepatitis) with advanced fibrosis, or alcohol-related liver disease if alcohol consumption is significant. F3 fibrosis carries a meaningful risk of progression to cirrhosis (F4) if the underlying cause is not addressed.
4. What to Do Next
You should not ignore this result. Recommended next steps include:
- Hepatologist/gastroenterologist consultation - urgent, not routine
- Blood tests: LFTs (ALT, AST, GGT, bilirubin), CBC (for platelets), FIB-4 score calculation, fasting lipid profile, HbA1c/blood sugar, viral hepatitis screen (Hep B, Hep C)
- Liver ultrasound - to check for structural changes, nodularity, splenomegaly
- Alcohol history review - important for management direction
- Lifestyle changes: Weight loss (even 5-10% body weight can reduce liver fat and stiffness), reduce or eliminate alcohol, manage diabetes/insulin resistance if present
- Consider liver biopsy if the cause remains unclear, as FibroScan has ~15% false-negative rate for cirrhosis and cannot detect inflammation
Disclaimer: This is an educational interpretation of your FibroScan values. Only your treating physician, who has your full clinical picture, can make a diagnosis and management plan. Please consult a hepatologist promptly given these findings.