### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Dr.My name is Rameez and i am form Punjab Pakistan. My mother suffered with Hepatitis C from last 10 years. We treat her medically form many hospitals (Alopathic, Homeopathic, Hakeems) but now she is clear from Hepatitis C after Eid-ul-fiter. I have made checkup her form Liver Center Faisalabad. her reports are clear but her liver are very weak. Doctor gives us suggestion of liver transplant. We have made her Ultrasound on 12-10-2011. The report is as under, please read the report and guide us right direction. I shall be very thankful to youmy mother age is 50 years.U/S ABDOMENFindings:Liver:                COARSE LIVER WITH IRREGULAR MARGINS, MIXED ECHOGENECITY & COARSE EHO-PATTERN. (5.3 x 5.8 CM) SIPLE SYST SEEN IN RIGHT LOBE OF LIVER. PORTAL VEIN IS [15 MM] DILATED. Gall Bladder:  The gallbladder in not distended and has normal wall thickness. No gallstones. SonograpChatDoctorurphys sign is negative. Common duct is not dilated at the time of scan.Pancreas:       The visualized pancreas appears normal. No pancreatic ductal dilatation is visualized. Spleen:            SPLENIC SPAN [17.3 CM] MODERATE ENLARGED IN SIZE. Echogenicity & echotexture are normal without any focal lesions. No verices or enlarged lymph nodes in splenic hilum.Kidneys:         Both kidneys are normal in size & echotexture. No hydronephrosis, renal calculi, or mass is identified The urinary bladder is unremarkable. Aorta / IVC:      The visualized portion of the inferior vena cava is unremarkable. No abdominal aortic aneurysm is identified.Ascites:          SEVERE ASCITES.Pelvis:            No pelvic mass.Yours TrulyRameez Afzal+92-334-0000Pakistan

### output:

Dear Rameejyour mother looks to be suffering from HCV related chronic liver disease. Although, only report in form of USG provided is very old, and its also showing ascites. To decide about requirement of liver transplant, we need to know symptoms/ case summary- if there is any history of ascetic tap, history of diuretic intake, any effect on kidney? We also need to know following tests-CBC, LFT, FT, INR.once these test are available, only thereafter we can decide about requirement of liver transplant. If she does not meet transplant criteria, she needs to continue medical treatment. For further information, you can contact me. Regards Chat Doctor. 