Can someone tell me what is the difference between fatty liver vs. liver sarcoidosis? I have a fatty liver according to an ultrasound and a catscan and my doctor keeps saying that it's just fatty. My liver enzyme tests were slightly elevated. How can he tell the difference. Does a liver with sarcoidosis have some basic distinct characteristics that are immediately identifiable vs. just fat in the liver? I asked if it could be sarcoid in my liver and he said no, it's just fatty! Would the test results say something more specific to indicate that it could possibly be sarcoid? I have been having some really bad stomach problems... ie, bloating, nausea & vomiting. Sometimes I am awaken by having to rush to the bathroom to vomit. My GI doc has run a number of tests to see if it's my gallbladder and everything is coming back normal. I also have pain in my right side and back. Could that be from the sarcoid in my lungs? Has anyone with liver sarcoid had pain with it or is this pain most likely from my lungs? Just curious, as you know we have to practically diagnose ourselves. I am about fed up to my eyeballs with these doctors not knowing more about sarcoidosis!!!!!!! By the way, my spleen is fatty too!