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22nd April 2024
A 52-year-old female has been referred to the liver clinic by her rheumatology consultant
A 52-year-old female has been referred to the liver clinic by her rheumatology consultant who has noticed some derangement in her LFTs at her most recent rheumatology outpatient clinic appointment. She has been on Methotrexate for over 5 years and her rheumatoid arthritis is well controlled. Bloods show the following:
| Bilirubin | 12 µmol/l |
| Alkaline Phosphatase | 205 u/l |
| Gamma-T | 105 u/l |
| ALT | 50 u/l |
| Albumin | 34 g/l |
Which of the following investigations is the most useful to reach a diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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