Hi, I had gone through your question and understand your concerns. Well, first I dont think that ovarian cancer that she has and fatty or enlarged liver are related since this is not sign of liver metastasis. Only focal liver lesions may be metastases but it would be described. So this is good news for her and we hope that cancer is cured. Second, enlarged liver is mostly caused by fatty liver which can be treated with lifestyle habits.it means that quitting alcohol is the mos timportant thing. Frthemor,if she is overweight or obese it should be managed by diet and exercise. Eating a balanced and healthy diet is improtant. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. Hepatotoxic medications should be reduced or stopped. It should bring improvement. If not, then some other liver issues such as viral hepatitis or autoimmune hepatitis may be checked for but this is not necessary at this point. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.