Cirrhosis with severe ascitis and liver failure

Dear Ask The Doctor: Hi DR. im from Egypt, 57 years 3 years ago my Liver was failed, not completely last week i do some tests in the hospital and here is the report the liver : measures 10 cm, coarse texture and bright parenchmal echogenicity. no focal lesions or dilated intrahepatic biliary radicals are seen. no evidence of portal thrombosis . impression : liver cirrhosis mild splenomegaly severe ascitis thick wall of GB hypoalbuminemia gaseous colonic distension . so .. can you please tell me what is my case now ? and what is the words in the report means ? thanks .

Dear Ziad:

Coarse texture, decrease in size and bright echogenicity all signify the disease condition of the liver called cirrhosis, in which there is scarring of the liver tissue. Once you have cirrhosis, nothing can make all the scar tissue go away, but treatment can prevent cirrhosis from getting worse. Mild spleenomegaly - means increase in size of the spleen and the thick wall of the GB (gall bladder) also suggests the distension of this organ, both of which are due to the cirrhosis of the liver and show the progression of the disease. Severe ascitis - means fluid in the peritoneal (abdominal) cavity, is also the result of changes associated with your liver disease. Ascites is caused by a combination of elevated pressure in the veins running through the liver (portal hypertension) and a decrease in liver function caused by scarring of the liver. In general, above findings indicate the evidence of advanced liver disease and the treatment option of liver transplantation needs to be considered at this time.