31st July 2023

A 32-year-old woman presents with sudden onset right upper quadrant pain and abdominal distension

A 32-year-old woman presents with sudden onset right upper quadrant pain and abdominal distension. On examination, she has palpable hepatomegaly and there is tense ascites, but no jaundice is present. She has never smoked.

Bloods show:
Hb 185 g/L (115 – 160)

What investigation is likely to reveal the underlying pathology?

Select the SINGLE most appropriate option from the list below. Select ONE option only.