Abdominal Distension

An 85-year-old male patient presented to the Outpatient Department with a history of abdominal discomfort and distension over the past 2 days. He is a known case of liver cirrhosis but was being managed conservatively. He does not give any history of fall or trauma to the chest or abdomen. […]

An 85-year-old male patient presented to the Outpatient Department with a history of abdominal discomfort and distension over the past 2 days. He is a known case of liver cirrhosis but was being managed conservatively. He does not give any history of fall or trauma to the chest or abdomen. The following image was obtained in the right flank region.

Question:

What is the most likely diagnosis? (select one only)

A. Intestinal obstruction.

B. Anechoic free fluid in the Morison’s pouch.

C. Ascites

D. Hyperechoic/echogenic free fluid seen.

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Answer: C, Ascites

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