In a 72-year-old woman with intermittent mild right-upper-quadrant discomfort, ultrasound showing hepatic steatosis and a mildly irregular liver contour suggestive of early fibrosis, mildly elevated aspartate aminotransferase and alanine aminotransferase, normal acute hepatitis panel, normal iron studies, normal international normalized ratio, and no alcohol use, what follow-up and management are recommended?

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Last updated: February 26, 2026 • View editorial policy

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