4月的AFP正常，5月的彩超和6月的MRI： No suspicious focal liver lesion。

AFP：2.4 （Normal range: 0.0 - 8.9 ng/mL）

B超（5月）：Liver is normal in size with a coarse hepatic parenchyma echogenicity. The liver surface is slightly nodular. No focal lesion is identified in the liver

MRI （6月）： Marked T2 hypointensity of the liver consistent with iron deposition. Heterogeneous liver parenchyma in keeping with known cirrhosis. No suspicious focal liver lesion.

MRI（去年11月）：

Liver: Normal in size, measuring 13.1 cm craniocaudally. Mild surface nodularity suggesting cirrhosis. Diffusely decreased T2W signal with signal drop on in-phase from out-of-phase consistent with iron deposition/hemosiderosis. No focal hepatic lesion is

seen. Central portal and hepatic veins are patent. Left portal vein appears to communicate with large varices in the gastrohepatic space.

肝穿：transjugular liver biopsy with measurement of hepatic venous pressures

因为是transjagular，所以我理解取样应该是在肝里通颈的静脉附近。报告说：The needle was removed and following exchange, a 0.035 access wire was advanced into the inferior vena cava.

六月初做了第一次Phlebotomy(不知为啥叫infusion encounter)，这周马上要做第二次（Infusion Therapy 180 Min）。我打算问问医生能不能做的更频繁些。

另外，我睡眠不好，吃melatonin没问题吧？

我做了些research，没发现哪里说有问题。好像还能chelate iron。https://pubmed.ncbi.nlm.nih.gov/35961513/