Presentation
Large abdomen and shortness of breath.
Patient Data
Age: 75 years
Gender: Male
From the case:
Ascites with bilateral pleural effusions







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Homogenous hepatomegaly 180 mm, marked ascites, and bilateral pleural effusion.
Colour Doppler ultrasound shows phasic hepatopetal flow in portal vein.
Colour Doppler ultrasound of hepatic vein shows abnormally phasic flow that may indicate tricuspid regurgitation.
Case Discussion
Ascites and bilateral pleural effusion.