<s>[INST] I ve had issues with my abdomen since I was fifteen when I was seventeen they removed gallbladder for years I ve had pain in the center of my stomach in between rib cage they said it was acid reflux since 2005 I ve had a lump that pops out if I move just right or sneeze well finally they did ultrasound sound on where the thing pops out but my results say I have an enlarged liver 20 cm vertical in right love of liver and it also says no biliary dilatation and left upper quadrant imaging region of palpable abnormality.Can you please tell me what this means [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is slight enlargement of liver and it is nothing much to worry. Do a liver function test (LFT) to assess the functional status of liver. No treatment is required. Avoid alcohol and fatty foods and repeat the scan after six months. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain </s>