What is "Enlarge in size 19.8 cm"? Spleens average 2.4 to 6.3 inches (6-16 cm). The size of a Pancreas is almost the size of a stepped on banana. A Gall Bladder is about 7 to 10 cm (3 to 4 in) long.
I'm not a doctor...but I do have an extensive medical background. It just sounds like your liver and spleen are enlarged...and there could be a number of reasons for this condition. The rest of the report sounds harmless. However, if your liver and spleen is enlarged, you (along with your doctor) need to investigate possible causes so that you can remedy the situation.
Do you have any liver enzyme results to correlate with this report?
Have you asked your doctor to talk with you concerning this report?