Revision 22 for 'Hepatomegaly'

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Hepatomegaly

Hepatomegaly refers to an increase in size or enlargement of the liver

Pathology

Etiology

Hepatomegaly can result from a vast range of pathology including, but not limited to, the following:

Radiographic features

Assessment of liver size in commonly made on ultrasound or CT, although gross hepatomegaly may be apparent on plain film imaging.

A liver that is longer than 15.5cm in the mid-clavicular line is considered enlarged,  however in practice assessment is often subjective. Features that support hepatomegaly include 1:

  • extension of the right lobe inferior to the lower pole of the right kidney
  • rounding of the hepatic inferior border

Differential diagnosis

See also

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