The American Association of Clinical Chemistry cites a reference range of 1.0 to 7.5 units per liter for the aldolase test. Your laboratory may have a different reference range, so it's important to discuss your results with your medical care provider. High levels of this enzyme can indicate skeletal muscle damage, infectious mononucleosis, muscular dystrophy, polymyositis, heart attack, liver cancer, pancreatic cancer, hepatitis or prostate cancer. Your doctor may ask you to have an ALT test, AST test or CPK test to rule out or confirm a possible diagnosis.