Method Of Exam

• Place your right hand on the patient's abdomen in the right lower quadrant. Gently move up to the right upper quadrant lateral to the rectus muscle. Gently pressing in and up, ask the patient to take a deep breath. 
• If the liver is enlarged, it will come downward to meet your fingertips and will be recognizable.

Normal:  

In normal patients, the edge of the liver may be palpable just below the costal margin. It is soft and smooth and may be slightly tender.

Caution:

You should try to palpate liver by superficial palpation and not deep palpation. Liver edge is just hugging anterior abdominal wall. With superficial palpation, let the liver edge come and touch your fingers with deep breathing rather than you going after liver.