Left upper abdominal pain, fever. Blood count - neutrophils high, eosinophils normal. Ultrasound - fatty liver, hepatitis, pleural effusion. CT Chest - bilateral basal pneumonia, left-sided pleural effusion, left-sided subphrenic fluid collection, hiatal hernia. Serum markers - CA 19-9 raised, alkaline phosphatase high and rising.
Patient Data
Age: | 60 years |
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Gender: | Female |