The major concern with this ultrasound
is the cirrhotic liver with ascites
. When the liver is badly damaged with scarring (cirrhosis
), it doesn't work very well. Blood flowing through the scarred liver gets backed up and creates high pressure in the liver, which in turn results in fluid leaking in to the abdomen (ascites). Unfortunately, cirrhosis with ascites may be an indication that his liver is starting to fail. The kidney
shows that a stone is present, but that does not seem to be causing any problems. No other findings are of significance. What needs to be done now is to take a sample of the ascites fluid and determine if it is truly related to the liver cirrhosis or something else. Liver disease is the most common cause of ascites, but other conditions may cause it as well, and treatment may differ. Further investigation of the liver status may also be needed, such as a biopsy
. Usually the spleen
is enlarged when ascites develops with a cirrhotic liver, and his spleen is normal, so perhaps another more treatable condition is present. Liver failure
from cirrhosis is the worst case scenario. Further evaluation should help define his situation better. Hope this helps.