Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 45yo Man | Hepatology | SMLE Q#11213

SMLE Question #11213

Medicine / Internal Medicine Hepatology

Objective: OBJ-HEP-01

Last updated: February 2026
A 45-year-old man with type 2 diabetes mellitus treated with metformin is evaluated after incidentally abnormal liver enzymes were found on routine testing. He is asymptomatic. He has obesity with increased waist circumference (BMI 32 kg/m²). Initial workup for common causes of chronic liver disease is unrevealing. What is the most likely diagnosis?

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