Fatty liver disease is a condition caused by deposition of excess fat within the liver. Even without any alcohol intake your liver can become fatty causing non alcoholic fatty liver disease (NAFLD) in those who have diabetes obesity or elevated lipids. Non alcoholic steatoheaptitis (NASH) is liver fat with inflammation and injury caused by build up of excess fat. Currently the treatment aims at lifestyle modification and management of co-morbidities associated with NAFLD such as obesity diabetes hypertension dyslipidemia and cardiovascular disease. Early diagnosis of the fatty liver disease is thus crucial for prevention management and arrest progression of the