<s>[INST] Liver ultrasound shows: The Echotexture of the liver appears slightly increased. Consider hepatic Steatosis . Impression: Borderline changes of hepatic steatosis Side note: Elevated Alk Phos is coming from my liver. I am a 6 yr breast cancer survivor. I was on tamoxifen for 3 years and arimidex for 2yrs. What is this report telling me about my liver and can tamoxifen and arimidex cause such liver problems? [/INST] Hi and welcome to HCM. These medicines can have some effects on liver function but this is usually just mild elevation of LFT or live steatosis. it can also not be related to your drugs,so it can be fatty liver due to other risk factors. also high alp can be caused by bone disorders so this should be considered as well. Thanks for the query. WIsh you good health. Regards </s>