Cirrhosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and progressive distension with elevated liver enzymes.

Patient Data

Age: 65 years
Gender: Male
ct

Moderate abdominopelvic free fluid is present. In addition, in imaged portions of the lower thorax, a tiny amount of pleural effusion is observed at the left side.

The liver is small and shows a nodular margin in keeping with cirrhosis. Some dilated collateral vessels are seen at the perigastric and distal para esophageal regions.

A 9 mm stone is noted in the gallbladder.

The spleen is enlarged, and its cephalocaudal height is measured 148 mm.

The prostate gland is enlarged. 

Case Discussion

Cirrhosis with ascites and splenomegaly.

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