Ascites with bilateral pleural effusions

Case contributed by Mohammad Osama Hussein Yonso , 2 Dec 2013

Diagnosis certain

Changed by Nafisa Shakir Batta, 3 Oct 2015

Updates to Case Attributes

Diagnostic Certainty was set to .

Presentation was changed:

~~75 Y/O male with large~~Large abdomen and shortness of breath.

Age changed from 75 y to 75 years.

Race changed from Middle eastern to .

Body was added:

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Ascites and bilateral pleural effusion.

Findings was changed:

Homogenous hepatomegaly 180 mm, marked ascites,bilateral pleural effusion.

Colour doppler ultasound shows minimal pulsatile hepatopetal flow ~~fo portal~~in portal vein .

Colour doppler ultrasound of hepatic vein shows triphasic flow may indicating tricuspid regurgitation.