2 consistency—from the normal softness to an abnormal firmness or hardness, as in cirrhosis. Clinical estimates of liver size z should be based on both percussion and palpation, although even then they are far from perfect.
Height by -
Downward Displacement of the Liver by a Low Diaphragm
This is a common finding (e.g., in emphysema) when the diaphragm is low. The liver edge may be readily palpable well below the costal margin. Percussion, however, reveals a low upper edge also, and the vertical span of the liver is normal.
Elongated right lobe
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