Not necessarily.: Usually there is some level of inflammation with NASH - usually seen with elevated enzymes. Fat infiltration of liver is on a spectrum. You have fatty liver - > then fatty liver w/ inflammation (nash) -> then fibrosis and scarring (cirrhosis). Fatty liver by itself is for the most part harmless, but it can progress so good diet, exercise and cholesterol control is key.
Answered 2/18/2015
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