Ultrasound: hyperreflective due to the brightness of fat in the liver
Liver biopsy: fatty infiltration, hepatitis, fibrosisWeight loss and exercise (no benefit from ursodeoxycholic acid, vitamin E)

HDL, high density lipoprotein.

Conditions that commonly present in this way include:

• Non-alcoholic fatty liver disease (NAFLD)
  
• Non-alcoholic steatoheaptitis (NASH) (see Nutrition section):
  
• Sclerosing cholangitis
  
• Alpha-1-antitrypsin deficiency
  
• Wilson’s disease

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