A 42-year man presented in the OPD of his GP with the C/o- bleeding gums and increased bruising Social history  Chain smoker, alcoholic, and IV drug abuse Physical examination   Overweight Mild gynecomastia present Palmar erythema Pitting edema of lower extremities present P/A: Shifting dullness present Laboratory findings WBC count: 3200/mm 3 Hematocrit: 28% Platelets: 90,000/mm 3 BUN: 36mg/dL Creatinine: 1.5 mg/dL Albumin: 3.3g/dL Partial thromboplastin time (PTT): 40 seconds ALT: 60U/L AST: 100U/L What is the most likely diagnosis? *This case is from the Editorial team of Docplexus and is meant for educative purposes only.

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