Cirrhosis on needle biopsy

Needle biopsy of the liver (40x) of a 61-year-old female with obesity, diabetes, and hyperlipidemia referred for evaluation of chronically elevated serum aminotransferases. Trichrome stain demonstrates bridging fibrosis (blue staining), peri-portal inflammatory infiltrates and marked steatosis. These findings are consistent with cirrhosis secondary to NASH.