Hepatic steatosis. The 2D-US examination is showing an enlarged liver, with increased echogenicity and posterior beam attenuation, with a slightly inhomogeneous structure of fine granularity, without any FLLs. Even if this aspect is highly suggestive of hepatic steatosis, conventional US is unable to properly quantify the fatty amount of the liver. Also, 2D-US cannot specify whether fibrosis is present or not. Usually, steatosis and fibrosis coexist and therefore “steato-fibrosis” is the preferred term in this situation.