Hi thanks for asking question. Noted this 2 year child having elevated liver enzymes and hepatomegaly.... Here yes chances of metabolic disorder is present....like that if glycogen storage disorder or tyrosinemia.... Detailed investigation and complete history taken .... If need liver biopsy might needed...for his to pathological examination..... Niman pick disease or Wilson disease also congenital causes.... And yes finally congenital hemolytic anemia also has to be ruled out.... If need electrophoresis might done from blood sample to rule out sickle cell or thal. Hope your concern solved...