Ultrasonography is a very efficient and widely available technique for the detection of fatty liver. The overall sensitivity and specificity of ultrasound in detection of moderate to severe fatty liver have been shown to be accurate and comparable to those of histology (gold standard).Therefore, this report aimed to determine the prevalence of MAFLD in tribal district Dharanidhar Medical College and Hospital, Keonjhar, Odisha, India. This study investigated factors associated with the occurrence of MAFLD patients with fatty liver on ultrasonography and to determine whether statistical significance exists between fatty liver detected on routine health checkup scans and these laboratory parameters. Overall, the goal was to prove the clinical relevance of ultrasound reporting of fatty liver in routine health check-ups.