Fatty liver disease???
Or, take your pick...... alcohol use, cancer metastases, congestive heart failure, glycogen storage disease, hepatitis A, B, or C, hepatocellular carcinoma, hereditary fructose intolerance, infectious mononucleosis, leukemia, Niemann-Pick disease, primary biliary cirrhosis, Reye syndrome, sarcoidosis, sclerosing cholangitis, or steatosis (fat in the liver from metabolic problems such as diabetes, obesity, and high triglycerides, also called nonalcoholic steatohepatitis, gall stones, injury.....
If she were a dog, id be cutting her open.