Hello there.  I can understand your concern.  In your subject you have mentioned as liver size increased but in description you are saying liver size normal. Which of this is right? Increase in the echo texture could mean that there is much fat accumulated in the liver. In overweight people and alcoholics its a common finding. He will need to lose weight. Consult a general physician in person for further evaluation and management.  Best regards. Dr. Anil kumar jain. Bangalore.