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LaparoscopyLaparoscopic features of fatty liver include a spotty yellow appearance when a fatty change of more than 30% is present without fibrosis and a diffuse yellow appearance when a similar fatty change 2 de is present with fibrosis.Indocyanine green may accentuate these differences.Liver biopsyA liver biopsy and histopathological examination are required to establish the diagnosis.The diagnosis should be considered in 2 de all patients with unexplained elevations in serum aminotransferases (eg, with findings negative for viral markers or autoantibodies or with no history of alcohol use).Histologic Findings: The diagnosis 2 de of fatty liver or NASH can be established only with a liver biopsy.
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