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Ultrasound study of the abdomen demonstrates heterogenous echogenicity of the liver with nodularity of the liver surface. There is moderate amount of ascities in the abdomen. The hepatic vein and IVC is massively dilated. The portal vein demonstrate antegrade flow and is of normal calibre. Multiple tiny echogenic foci are present in the spleen indicative of Gamna-Gandy bodies. The spleen is not enlarged.