Male patient aged 67, admitted for anasarca, orthopnea, bradycardia. History of ischemic heart, hypertension, congestive heart failure and myocardial infarction.
Total Protein 5.7 (normal 6.4 to 8.3)
Albumin 2.2 (normal 3.5 -4.8)
Potassium 3.0 (normal 3.6 to 5.5)
Creatinine 3.2 (normal 1.1)
Platelets 483 000 (normal 150 to 450,000)
The eco-abdominal sonographic examination shows small liver with cystic image in the left lobe and the presence of nodular image, hyper-echogenic, rounded, located in right lobe. Shows the presence of free ascitic fluid with bilateral pleural effusion.
Infiltrative gallbladder showed thickening of their walls with a front wall of 8 mm (normal up to 3 mm)
The kidneys show signs of chronic renal failure (CRF) with increased cortical echogenicity and blurring of the cortico-medullary border..