<s>[INST] My husband is in year 5 of congestive heart failure with a defib/pacemaker. His BNP test came back 2407 and had a paracentisis done on 12/28 with still distention on left side. His ultra sound shows moderate live enlargement and left kidney slightly enlargered. I am very concerned and am trying to get a prognosis. [/INST] Hello, Congestive heart failure patients may develop liver enlargement. This is called congestive hepatomegaly common in heart failure patients.  But left kidney enlargement may be due to infection or stone. Until etiology known it is difficult to treat. Please consult with your cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care  </s>