Chronic liver disease is a continuous process of inflammation, destruction and regeneration of liver tissue leading to fibroses and cirrhosis. Cirrhosis can lead to liver failure and liver cancer. Chronic liver disease has many causes however none alcoholic fatty liver disease ( NAFLD) is the most common cause of chronic liver disease in western countries. Risk factors for non-alcoholic fatty liver disease ( NAFLD) include obesity, BMI more than 30, diabetes or pre-diabetes and hyperlipidaemia. Patient with chronic liver disease can be a symptomatic until patient has sign of liver failure, therefore Early identification of chronic liver disease and early treatment can prevent development of the liver cirrhosis of the adverse outcome