Fatty liver disease is common, accounting for 10 to 24 percent of the total population of each country are different. Patients without prevention, early diagnosis and treatment, 50 percent will be fibrosis, 15 percent progressed to cirrhosis and 4 percent progressed to liver cancer. Currently unnecessary biopsies, fatty liver can be diagnosed by ultrasound and CT scan. Objective: the relationship between lipid metabolism disorders and fatty liver images on CT Methods: A descriptive study, 30 patients with advanced research on lipid metabolism disorders which have hepatic steatosis images on CT, at the Thai nguyen Central General Hospital, the period from 1/2014 to 11/2014 . Results and conclusions: There is an association between blood cholesterol and fatty liver images on CT. In particular, patients with high blood cholesterol levels, the levels of severe steatosis than patients with normal blood cholesterol. Increase Cholesterol accounted for 56.7 percent: mild fatty liver 1.8 percent, moderate 70.6 percent, severe 17.6 percent.