Clinical Medicine & Research
Volume 4, Number
4
: 336
doi:
© 2006 Marshfield Clinic
Asymptomatic Hepatomegaly with Elevated Serum Transaminases – Diagnosis?
Mrinal M. Patnaik, MD and
Alaka K. Deshpande, MD
Mrinal M. Patnaik, MD, Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota USA
Alaka K. Deshpande, MD, Department of Internal Medicine, Grant Medical College and Sir JJ Hospital, Mumbai, India
Key Words: Asymptomatic hepatomegaly • Elevated serum transaminases • Computed tomography
A 55-year-old male, from rural India, presented to the clinic for a routine pre-employment visit. He was found to have an asymptomatic hepatomegaly (liver span 22 cm) with elevated serum transaminases (ALT 89 IU/L, AST 65 IU/L, alkaline phosphatase 122 IU/L). The patient had previously been a farmer and currently did not have any systemic symptoms. A computed tomography (CT) scan of his abdomen was performed and is shown in the photograph.
What is your diagnosis?
Submit your diagnosis by email (clinmedres{at}mcrf.mfldclin.edu) or fax (715-389-3808). The authors’ diagnosis will be reported in March 2007.
