Host factors are dominant in the development of post-liver transplant non-alcoholic steatohepatitis

Figure 1 Biopsy of the donor liver showing a lack of obvious pathologic changes. Specifically there is no steatosis, fibrosis or inflammation (H and E stain). A: Low magnification (× 100); B: Higher magnification (× 200) of the biopsy.

Figure 2 Biopsy of liver graft from case 1 performed 25 mo later showing a lack of significant pathologic changes. Specifically, no steatosis is noted (H and E stain). A: Low magnification (× 100); B: Higher magnification (× 200) of the biopsy.

Figure 3 Biopsy of the liver graft from case 2 about 3 years post split liver transplantation showing marked macrovesicular steatosis (H and E stain). A: Low magnification (× 100); B: Higher magnification showing rare Mallory Denk bodies (arrow), ballooned hepatocytes and mild lobular inflammation (× 200). Trichrome stain revealed mild sinusoidal fibrosis (not shown here).