23rd September 2021

A 76-year-old male presents to his GP as he is worried about the size of his breasts

A 76-year-old male presents to his GP as he is worried about the size of his breasts. His main concern is embarrassment. His past medical history includes chronic pancreatitis. He does not smoke but drinks around 2 bottles of vodka a day. On examination, he appears a yellowish colour, and there are various bruises located across both of his arms. His abdomen appears distended, and there is shifting dullness on percussion. There are no other significant examination findings, and his breasts appear normal in size for his age.

Which of the following is the most appropriate investigation?

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