Gastroenterology and Hepatologycommon
A 58-year-old man is reviewed after routine blood tests show ALT 68 U/L (<40), AST 44 U/L (<40) and GGT 80 U/L (<60). He has type 2 diabetes and hypertension, his body mass index is 33 kg/m2, and he drinks about four standard drinks per week. Ferritin is 610 microg/L (30-300) with transferrin saturation 28% (20-45), and hepatitis B and C serology are negative. Liver ultrasound shows diffusely increased hepatic echogenicity with no focal lesion. Which one of the following is the most likely diagnosis?