question: Q:A 45-year-old man comes to the physician for his routine health maintenance examination. He was diagnosed with diabetes mellitus 4 years ago. His medical history is otherwise unremarkable. He takes no medications other than daily metformin. He has consumed a can of beer every night for the past 10 years. His blood pressure is 145/90 mm Hg. His body mass index is 31 kg/m2. Physical examination shows no abnormalities. Laboratory studies show:
  Partial thromboplastin time (activated) 30 seconds (N=25-40 seconds)
  Prothrombin time 13 seconds (N=11-15 seconds)
  International normalized ratio 1.2
  Serum albumin 4 g/dL
  Bilirubin, total 0.9 mg/dL
  Direct 0.2 mg/dL
  Alkaline phosphatase 45 U/L
  Aspartate aminotransferase (AST, GOT) 43 U/L
  Alanine aminotransferase (ALT, GPT) 56 U/L
  γ-Glutamyltransferase (GGT) 43 U/L (N=5-50 U/L)
  Hepatitis A antibody Negative
  Hepatitis B surface antigen Negative
  Hepatitis C antibody Negative
  Liver biopsy shows excessive intracellular fat accumulation, hepatocyte ballooning, and perivenular infiltration of lymphocytes and neutrophils without significant fibrosis. Which of the following best describes these findings?? 
  {'A': 'Alcoholic cirrhosis', 'B': 'Alcoholic fatty liver', 'C': 'Alcoholic hepatitis', 'D': 'Nonalcoholic-fatty-liver-disease-induced cirrhosis', 'E': 'Nonalcoholic steatohepatitis'},