Our patient, however, demonstrated compromised liver function as evidenced by a Child-Pugh score of 11 points (class C) with a total bilirubin of 3.4 mg/dL, albumin of 1.94 g/dL, international normalized ratio of 2.18, lack of ascites, and the grade 2+ encephalopathy with behavioral changes. Here, ALB is linked to Encephalopathy.