75-year-old female with pancreatic adenocarcinoma with known liver metastases, now with abdominal swelling, evaluate for ascites. There is large four quadrant abdominal ascites. Incompletely visualized bilateral pleural effusions.Coarse echotexture and nodular contour of the visualized liver consistent with cirrhotic liver morphology.
1. Large four quadrant abdominal ascites and bilateral pleural effusions. 2. Cirrhotic liver morphology. 