### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi! my name is harry,my  2 years old daughter was diagnosed with an enlaged liver.her blood tests shows elivated enzymes ALT:201 U/L AND AST:203 U/L .she has no jaundice and has normal skin color.we were a bit concered about her  having a sligtly bigger belly so we took her to the doctors wher they did the blood tests,scans and found an enlarged liver.and the scan reports says (the liver has a smooth capsular surface but is enlarged with a coarse.heterogeneous echogenecity.the portal vein measures 5mm,flows within it is antegrade.both right and left portal veins are normally patent with normal directional flow.the hepatic veins are normally patent,again there is normal directional flow into the ivc.the hepatic artery has a resistive index of 0.9.the gallbladder is contracted as the patient wasnon-fasted,however,is otherwise of normal appearance and no gallstones are evident within it.the bile ducts are non-dialated,CBD-1.6mm.the spleen is not enlarged,it has a lenth of 6.5cm.there is no ascites and no sites of portosystemic shunting.the pancreas and kidneys are unremarkable.the aorta was poorly visualised.)recentally they has done the biopsy(its results has not came yet).can you tell me why she has an enlaged liver ?.she is average weight and height is on third percentile .very smart and talktative.is that something in her diet that causes it?or something genetic?or some kind of a disorder?thanks for your help!

### output:

Hello Harry, your daughter seem to have either metabolic liver disease or a genetic or idiopathic (means no cause found), as only finding we find is enlarge liver with mildly raised liver enzymes i, e. ALT/AST rest of finding are normal. In genetic disorders some enzymes is deficit or defective or less active which result in defective metabolism which result into storage of precursor of enzyme into liver which result in problem in functioning of other liver cell also, metabolic disorders are also a type of genetic disorder in which a specific enzyme is deficit or defective or less active which result in defective metabolism of carboy Chat Doctor. 