<prompt> Enlarged Pulsative liver with ascitis is typically seen in:Tricuspid Regurgitation TRMitral Regurgitation MRMitral stenosisPulmonary stenosis PS  <response>: Answer is A Tricuspid Regurgitation TR Hepatomegaly Enlarged liver with systolic pulsations of the liver and ascitis are typically seen in Tricuspid Regurgitation. Tricuspid Regurgutation The clinical features of Tricuspid Regurgitation result primarily from systemic venous congestion and reduction in cardiac output. Typical Physical Examination Findings in Tricuspid Regurgitation Gross Fluid Retention - Significant Peripheral Edema - Ascitis - Pleural Effusion Hepatomegaly with a Pulsatile liver Enlarged tender liver with systolic pulsations Positive hepatojugular reflux Dilated Jugular veins with prominent v waves and rapid , decent Blowing Holosystolic murmur along lower left sternal margin that increases with inspiration Prominent RV Pulsations Parasternal Heaves over left parasternal region. 