Study design. NAFLD was defined as mean liver attenuation ≤ 51 Hounsfield units (equivalent to a liver spleen ratio < 1.0) after exclusion of other causes of fatty liver. CT, computed tomography; NAFLD, nonalcoholic fatty liver disease; HIV, human immunodeficiency virus. Asterisk symbol denotes heavy alcohol use defined as > 14 drinks/week for women, > 21 drinks/week for men. Dagger symbol denotes medications amiodarone, diltiazem, methotrexate, valproate, tamoxifen