With the maturity achieved by deep learning techniques, intelligent systems that can assist physicians in the daily interpretation of clinical images can play a very important role. In addition, quantum techniques applied to deep learning can enhance this performance, and federated learning techniques can realize privacy-friendly collaborative learning among different participants, solving privacy issues due to the use of sensitive data and reducing the number of data to be collected for each individual participant. We present in this study a hybrid quantum neural network that can be used to quantify non-alcoholic liver steatosis and could be useful in the diagnostic process to determine a liver's suitability for transplantation; at the same time, we propose a federated learning approach based on a classical deep learning solution to solve the same problem, but using a reduced data set in each part. The liver steatosis image classification accuracy of the hybrid quantum neural network, the hybrid quantum ResNet model, consisted of 5 qubits and more than 100 variational gates, reaches 97%, which is 1.8% higher than its classical counterpart, ResNet. Crucially, that even with a reduced dataset, our hybrid approach consistently outperformed its classical counterpart, indicating superior generalization and less potential for overfitting in medical applications. In addition, a federated approach with multiple clients, up to 32, despite the lower accuracy, but still higher than 90%, would allow using, for each participant, a very small dataset, i.e., up to one-thirtieth. Our work, based over real-word clinical data can be regarded as a scalable and collaborative starting point, could thus fulfill the need for an effective and reliable computer-assisted system that facilitates the daily diagnostic work of the clinical pathologist.