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Hepatic Steatosis is referred to fatty liver which is caused due to the excessive amount accumulation of triglycerides and other types of fats. The major cause of the hepatic steatosis is consumption of alcohol in high amount which directly affects liver cells. Other risk factors for the development of fatty liver are type 2 diabetes, insulin resistance and high cholesterol. Steatosis is more common in women, and may also appear in thin people with low alcohol intake in smaller proportions. Both hepatic steatosis and steatohepatitis and cause no symptoms (they are asymptomatic) in early stages and are usually discovered incidentally in ultrasound or CT scans. The condition is generally not painful and may go unnoticed for a long period of time. In severe cases, the liver can increase to over three times its normal size and may be painful and tender.