ICM-II: ABDOMEN, case 3

PHYSICAL EXAM:

 Protuberant abdomen, no shifting dullness, dullness to percussion in both upper quadrants, extending well below costal margins

HISTORY:

41 year old male presenting with gradual onset of abdominal pain, fullness, early satiety, with long history of alcohol abuse.

For each case, begin by deciding what TYPE of image you are being shown.  Think about the proper TERMINOLOGY to describe findings, given the particular modality. Then note any pertinent TECHNICAL factors or problems with the image. Think about the overall state of the PATIENT.