GPT and Cirrhosis: Further evaluation revealed an alpha-fetoprotein level of 6.7 (normal < 6.1 ng/mL), alanine aminotransferase (ALT) of 29 (normal < 45 IU/L), and an abdominal magnetic resonance imaging (MRI) with a 2 × 1.5 cm lesion consistent with HCC in the absence of evidence of cirrhosis or portal hypertension.