Hello Thank You for contacting HCM. Welcome to Health Care Magic. My name is Dr Muhammad Ahmad & i will look into your problem. I have gone through your query and would try to help you in the best possible way. Liver - Enlarged (18.9cm) with increase in echo texture. ENLARGED Focal Parenchymal classifications noted in the segment IV. NO IHBD. }It should be focal CALCIFICATION in segment IV....(liver is divided into about 10 segments and there is some calcificatiion in segment 4 which is not an alarming finding. G.Bladder. Contracted NORMAL.... CBD is Normal Pancreas: Normal in size and echo texture NORMAL . Spleen: Normal in Size and echo texture. NORMAL RT Kidney and LT Kidney: Normal in size Bilateral suprarenal areas are free NORMAL finding U. Bladder: Well distended. No evidence of wall thickening/ Internal Echoes. Normal Prostrate: Normal in size & echo texture. NORMAL No evidence of paracaval/ para aortic adenopathy. NORMAL No evidence of free fluid in the peritoneal cavity NORMAL CONCLUSION: only abnormal thing in this scan is LIVER ... 1- It s size(more important to consider) 2- That calcification(not very significant finding) There can be hundreds to causes of a large Liver like fatty liver,alcoholic liver,hepatitis,fulminance,portal thrombus,portal hypertension etc but to zero down the exact cause one needs more investigations, Discuss it with your doctor and if your father use alcohol that s exactly the time he leaves it. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health