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What is the differential diagnosis?
Tuberculous peritonitis, lymphoma, metastatic involvement by ovarian, endometrial, bladder, colonic, pancreatic, and gastric cancers.
What is the omental cake sign?
It is the thickening of the omentum resulting from localized or diffuse infiltration of omental fat by soft tissue density mass.
Bilateral pleural effusion, larger on the left side.
Hypodense ill-defined liver lesions in segments 7 and 8.
Gastric wall thickening at greater curvature.
Presence of abundant fluid in the perihepatic and peri splenic spaces and in the pelvis.
Omentum thickening is seen, which suggests the omental cake sign.