Fatty metamorphosis of the liver is a common finding in autopsy or liver biopsy material obtained from patients with a history of severe alcoholism (1-4). In some instances, fatty liver is not associated with clinical manifestations of liver disease. In other cases, fatty metamorphosis may be of such severity as to be associated with acute signs and symptoms. In 1836 Addison (5) noted that most of the patients with fatty liver that he observed were addicted to alcohol. Most of the subsequent clinical reports of fatty liver have been intermingled with cases of Laennec's cirrhosis, and as a result a