Nash cause inflammation this will make liver enlarged and if liver size in usg shows normal size that meanthere is no nash?? usg show grade 1 fatt liver and normal size,elevated enzymes cause the concern and no alcohol, no diabetes,little overweight?

The characteristics of liver appearance by ultrasound allow the radiologist make the diagnosis of fatty liver (NAFLD) and NASH is a more severe form of NAFLD. The liver size may be still normal in NAFLD but elevated liver enzymes are commonly seen. You can reverse or stabilize the disease by low calories and low saturated fat diet along with routine exercise for a meaningful weight loss.