Several studies have shown the correlation between ALT level and hepatic fibrosis to be either very weak, weaker than that for either of the two histological inflammatory scores [7, 8, 61, 62], or insignificant [63, 64]. The elevated ALT and AST levels and presence of severe piecemeal necrosis were not identified as predictive in the cross-sectional studies, that had identified other predictive factors, such as patient age, age at onset of infection, male sex, and alcohol use as predictive factors [17, 18, 65, 66]. More so, in 20.5% of patients with the Bonacini scores ranging from 3 to 7, the diagnosis of liver cirrhosis turned to be an unexpected histological finding [19]. For this cohort, the diagnosis could be established only by liver biopsy [19].