“He’s grown another 30cm this month. Maji de dekai, right?”
Without spoiling the deeply absurd mechanics of the plot, the manga quickly pivots from its suggestive setup into pure, unadulterated slapstick comedy. The "huge" aspect of the brother isn't played for titillation; it’s played for inconvenience . Uchi No Otouto Maji De Dekain Dakedo Mi Ni Kona...
For a little brother ( otouto ), who should be smaller and protected, being maji de dekai breaks the social expectation. The sister’s request—“Won’t you come see him?”—is either: “He’s grown another 30cm this month