<s>[INST] Hi, I am 42 and just past august, i was feeling sick, i seen my doctor next day and he said i had to go hospital right away for blood trazfussion. I was enemic also and i had bleeding varcies too. I am now at stage 4 of cirhosis my liver and now i am waiting for my MRI To happen in August 21st, they spotted three spots on my liver, what can they be? and should i be getting worried! thanks [/INST] Hi, Thanks for writing in to Chat Doctor. I understand your problem and will try my best to help you out. In a patient with liver cirrhosis, with liver spots mean that there are either:1. Regenerative nodules : regeneration of liver cells taking place2. Dysplasia nodules in the liver showing abnormal cells. Please don't be worried. Let the doctors carry out an MRI and correlate with the clinical findings. You need to start taking medications as prescribed by the hepatologist and also need to follow a liver healthy diet. Bleeding varices is not a good sign of liver condition hence kindly take medications regularly to prevent further complications. Completely cut down on alcohol and smoking. Hope this answered your query. Get well soon. Chat Doctor.  </s>