What Does This USG Reveal?

A 74 -year-old man was referred to the emergency department by his GP, who saw him and advised him to get some blood tests done. The results show: Na:  145 mmol/L K: 6.9 mmol/L Urea: 29.3 mmol/L Creatinine: 686 μmol/L Physical examination On examination, the patient is clinically euvolemic with a pulse of 90 bpm and a BP of 160/90 mmHg. On auscultation of his chest, there is no pericardial rub, but he does have bibasal crackles posteriorly. On examination of his abdomen, his bladder is palpable at 2 cm below the umbilicus. A rectal examination reveals a smooth, significantly enlarged prostate.

He has mild peripheral edema in his ankles. Blood tests on admission : Na: 145 mmol/L K: 7.7 mmol/L Urea: 34 mmol/L Creatinine: 729 μmol/L CRP: 8 mg/L Hb: 12.7 g/dL WBC: 6.5 × 109/L Platelets: 438 × 109 /L An ultrasound scan is shown in the cover image. What does this USG reveal? *This case is…