Clinical evaluation of liver size and hepatic scintiscan

Abstract

of the thin lower edge of the liver. Thus, the fact that percussion might underestimate actual liver size is in no way a new observation.

The clinical estimation of liver size: a comparison of techniques and an analysis of the source of error.

“…The distance of the liver edge below the costal margin correlates poorly with its actual size, and the location of the upper border of the liver as determined by percussion must be made at the same time. [1][2][3] This study compares different techniques for the estimation of liver size and explores some possible sources of error.…”

Clinical Assessment of Liver Size in Normal Children

“…Liver span (height in the mid-clavicular line) measured during physical examination correlates well with liver height as determined in hepatic scintiscans or from direct measurement of the liver at autopsy. 3,4 The normal range of liver span measured by percussion and palpation has been reported for adults 3-' but not for children.…”

Physical Examination of the Liver

“…The percentage of patients with liver spans measured by physical examination within 2 cm of the imaging study ranged from 38% to 78%. [1][2][3][4] …”