“…In these two previous studies [6,19] and our own, the existence of hepatic steatosis was judged by the findings on unenhanced CT imaging. CT is a useful modality if steatosis is found in more than 30% of hepatocytes, but its ability to detect steatosis is reduced when lipid accumulation occurs in less than 30% of hepatocytes [20,21]. Thus, there is a possibility of underestimating de novo NAFLD after PD if the steatosis is mild; accordingly, its actual prevalence might be higher than reported in the above two studies and the present one.…”