<prompt> A known alcoholic presents to to the emergency room with hematemesis. On examination he has ascites with splenomegaly andgynaecomastia Diagnosis is -Portal hypertension secondary to viral hepatitisBudd Chiari SyndromePortal hypertension due to Alcoholic cirrhosisPrimary Sclerosing Cholangitis  <response>: The patient clearly has portal hypertension due to alcoholic cirrhosis Gynaecomastia indicates cirrhosis as a cause of portal hypertension. 