Falciform ligament and ligamentum teres outlined by ascites

Case contributed by Dr. Chris O'Donnell

Presentation

Unwell with loss of weight and abdominal distension. Also has shortness of breath with bilateral pleural effusions.

Patient Data

Age: 50 years
Gender: Female

Marked abdominal ascites and bilateral pleural effusion.

Fluid outlines the falciform ligament joining the liver to the diaphragm and anterior abdominal wall, attached at its lower end to the round ligament or ligamentum teres (unusually in this case surrounded by fat) containing the umbilical vein.

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