Causes of tender hepatomegaly

Acute hepatitis

Impaired venous outflow

  • Budd-Chiari syndrome
  • Right heart failure
  • Hepatic sinusoidal obstruction syndrome (SOS)
  • Peliosis hepatis

Causes of nontender hepatomegaly

Cholestatic liver disease

Storage disorders

Infiltrative diseases

  • Granulomatous disease
    • infection (eg, tuberculosis)
    • autoimmune conditions (eg, sarcoidosis)
    • drug-induced liver injury
  • Hepatic amyloidosis
  • Hepatosplenic T cell lymphoma
  • Malignant tumors
    • hepatocellular carcinoma
    • cholangiocarcinoma
  • Benign lesions