Summary of patient labs and imaging.

Table 1: Summary of patient labs and imaging.

Date	Lab
1998	HBsAg (+), HBV DNA < 0.0004 pg/mL
10/1999	Pt sustained severe car accident with multiple severe injuries, requiring surgeries and blood transfusion
10/2000	HBV DNA < 0.01 pg/mL ALT 145 IU/L could have been due to HCV but anti-HCV was not tested
11/2000	HBsAg (+), anti-HBs (-), anti-HBc (+), HBeAg (-)/anti-HBe (-) ALT 35 IU/L AFP 4 ng/mL Abdominal ultrasound: Liver with normal and homogeneous parenchyma
	No return for 9 years
7/2009 Sent by FMD for abnormal ALT	ALT 163 U/L HBsAg (+), anti-HBs (-), HBeAg (-)/anti-HBe (-) HBV DNA undetectable (< 100 IU/ml) AFP 7.2 ng/ml Abdominal MRI: Moderate to severe hepatic steatosis with no evidence of cirrhosis or HCC
9/2009	HBV DNA < 29 IU/mL
3/2010	ALT 71 IU/L Since ALT continued elevated with negative HBV DNA, HCV was tested: Anti-HCV (+) with HCV RNA 1.75 × 10⁴ IU/ml, HCV genotype 2 HBV DNA < 29 IU/m, Platelets 160 × 10³/µL PegIFN + Ribavirin treatment for 6 months (9/2010-3/2011)
7/2011	HCV RNA (< 43 IU/ml) and HBV DNA (< 169 IU/ml)
10/2011	Abdominal MRI: 1.6 × 1.6 cm lesion in segment 8 that had T2 hyperintensity, arterial enhancement and washout consistent with HCC, minimally cirrhotic appearing liver AFP 2.8 ng/ml ALT 40 IU/L Platelets 200 × 10³/µL HBV DNA: 8.9 × 10⁴ copies/ml (from a special lab)