23rd July 2023

A 57-year-old patient is admitted for management of an exacerbation of COPD, which is responding to treatment

A 57-year-old patient is admitted for management of an exacerbation of COPD, which is responding to treatment.

On routine blood tests, he is noted to have a raised ALT and AST. Other liver function tests are normal. His other past medical history includes type 2 diabetes mellitus, hypercholesterolaemia and osteoarthritis of his knees. His BMI is 31.

He has a 35-pack-year history but does not drink any alcohol.

What imaging would you arrange as the first line investigation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.