Snapshot A 40-year-old obese woman with a history of diabetes presents to her primary care physician for a routine visit. She denies having any complaints. On physical exam, her physician notices mild hepatomegaly without tenderness to palpation. To address this, a liver enzyme panel is sent and reveals elevated transaminases. She is sent for a hepatic ultrasound to evaluate for nonalcoholic fatty liver disease or steatohepatitis. Introduction Overview login to view 3 more bullets Epidemiology Incidence login to view 1 more bullet Demographics login to view 1 more bullet Risk factors login to view 4 more bullets ETIOLOGY Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 2 more bullets Imaging Ultrasound of the liver login to view 8 more bullets Studies Serum labs login to view 5 more bullets Invasive studies login to view 6 more bullets Differential Autoimmune hepatitis login to view 3 more bullets Treatment Lifestyle login to view 4 more bullets Complications NASH-associated cirrhosis Hepatocellular carcinoma