How can fatty liver be diagnosed?

Nonalcoholic fatty. The most common presentation is a persistent slightly high elevation of the "liver enzymes" with negative tests for hepatitis a, b or c a d without evidence of other liver disease. The ultrasound texture of the liver will be more hyperechoic, shinny, or "bright", associated to metabolic syndrome: mild overweight or obesity, pre diabetes or diabetes, high fatty food intake. Nash.
Ultrasound/LFTs. Usually, the first sign of fatty liver is a slight elevation of liver enzymes called transaminases. If we find these on routine screening, we'll confirm the diagnosis of fatty liver via a simple ultrasound. Treatment is to decrease visceral adipose stores (the fat around your mid-section). Fyi - the medical term for fatty liver is non-alcoholic steatohepatitis (nash). It sounds cooler...