<s>[INST] Liver is moderately enlarged in size and homogeneous increased echotexture with regular margins. No focal lesion seen. No intra or extra hepatic biliary dilatation identified. CBD measures 1.4mm.Portal vein measures 11 mm. Gall bladder appears normal. No calculus or mass lesion seen. Normal wall thickness. Normal pancreas . Spleen shows normal echotexture and is of normal size measuring 103.6 mm. Both kidneys show normal size, shape and echogenicity with intact corticomedullary differentiation. No calculus, mass or hydronephrosis seen on either side. Right kidney measures 114 mm in length with parenchymal thickness of 20 mm and left kidney measures 115.6 mm in length with parenchymal thickness of 22 mm. No free fluid or para-aortic lymphadenopathy noted. Uterus is anteverted and bulky in size. Uterus measures 109 x 48 x 52.3 mm. Hypoechoic mass seen in the anterior wall of the myometrium at fundal region slightly exophytic measuring about the 32.2 x21.7mm suggestive of intramural fibroid .Endometrium appears normal. Endometrial thickness measures 4mm. Both ovaries are normal in size. No mass or cyst seen in either ovary. Right ovary measures 22 X 7.6 mm and left ovary measures 23.4X 8 mm. No definite adnexal abnormality seen. No free fluid seen in cul-de-sac. Urinary bladder appears unremarkable. IMPRESSION: Moderate hepatomegaly with moderate fatty infiltration of liver however margins are smooth and no focal intrahepatic mass lesion seen. Bulky anteverted uterus with anterior wall intramural fibroid slightly exophytic as mentioned above. No other abdominal or pelvic pathology seen. [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn’t require any specific treatment. If this is caused by diet, obesity, and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case, medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein </s>