<s>[INST] Hi doctor, I'm a breast and thyroid cancer patient.  I've been having right side pain around the liver. The GI doctor requested an abdominal sonogram.  I have been diagnosed with Hepatomegaly with fatty infiltration and liver size is 19.0 cm.  Please advice.  Thank you. [/INST] Thank you for posting your query.further evaluation and history.whats your age? weight? height?any chemotherapeutic medication which liver toxic?is hep A, B C viral serology Negative?? did you do a lipid profile test?if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday. (loose weight if overweight)- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik </s>