Hepatosplenomegaly
Hepatosplenomegaly is the enlargement of both the liver and the spleen, usually a sign of an underlying disease rather than a problem on its own.
When to get help quickly: Urgent review is needed with fever, severe abdominal pain, easy bruising or bleeding, or a sudden increase in size, especially after trauma.
Common symptoms
Many people have no symptoms. Others may notice abdominal fullness, discomfort under the right or left rib cage, early fullness when eating, or general fatigue.
When imaging helps
Imaging confirms the size of both organs, looks for an underlying cause (infection, blood disorder, liver disease, storage disorder), and checks for related findings.
What radiology does
Ultrasound is the first test; CT or MRI can clarify the cause when the picture is complex.
What usually happens next
Treatment is directed at the underlying disease — infection, blood disorder, liver disease, or other systemic illness.
Seen this on your report?
Your doctor or the radiologist who wrote it can tell you what it means for you.