Yes, fatty change can be associated with cellular swelling, but they are distinct processes. Cellular Swelling is a general sign of cell injury where the cell takes in too much water and becomes larger. This happens because the cell's energy-dependent pumps (like the sodium-potassium pump) fail, allowing sodium and water to enter the cell. Fatty Change is the accumulation of fat droplets* inside the cell. While both can occur together as signs of cell injury, fatty change specifically refers to the fat buildup, and cellular swelling refers to the water buildup. Fatty change can sometimes lead to or coexist with cellular swelling, but they are not the same thing.