A dull percussion note forward of the left maxillary line around 20th rib in the abdomen is indicative of splenetic enlargement.
Enlarged spleen can caused by any infection, or other liver diseases , blood diseases characterized by abnormal blood cells, problems with the lymph system, or other conditions.It can be reduced by by the number of healthy red blood cells , platelets and white cells in your bloodstream, leading to more infection again and again.
Depending on the severity the engaged spleen may return to normal size and function when the underlying disease is treated or resolved.Dullness is the normal sound when tissues that are dense such as liver.
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