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Abdominal pain. Scan shows enlarged liver. What can be done?

Hi Doctor, I have been working in Pune for past 2 years(away from my parents). Recently my dad(age 58) had pain in upper left abdomen . when he went on general abdomen scan every thing is normal except liver . Liver appears moderately enlarged in size as 18.7 cm. could you please advice regarding this.. as i m worrying alot since away from my dad.
Asked On : Thu, 20 Dec 2012
Answers:  2 Views:  111
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Radiologist 's  Response
Hi, welcome to HCM.
It is nothing to worry about. In some people there mild variation in sizes of organs.
You just go for hepatic function test . If it comes normal then no need to worry at all.
If test is deranges then you have to consult a physician for the detailed evaluation. Only on sonographic report of liver enlargement ot is quite difficult to say any specific diagnosis.
Hope you have got satisfied answer.
Thanking you.
Answered: Thu, 20 Dec 2012
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General & Family Physician Dr. Mamun Kabir's  Response
Thank you.Some relevant history is essential regarding fever,appetite,weight loss,itching,dysentery,hepatitis B or C status,alcohol,family history of liver disease etc.In this setting of short history it may be due to acute hepatitis,liver abscess involving left lobe or acute pancreatitis with alcoholic liver disease.It may be liver neoplasm,primary or secondary.More possibility is acute pancreatitis or acute hepatitis. Is your father alcoholic for prolonged period which causes hepatomegaly due to alcoholic liver some blood biochemistry and hematological inv. is required to identify the cause like cbc,s.bilirubin,sgpt,ggt,serum and urinary amylase & viral marker of hepatitis.your father should consult with a hepatologist.
Answered: Tue, 25 Dec 2012
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