This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
A serum - Ascitic Albumin gradient less than 1.1g/dL can be due to all the following except 
Select and explain. 
A. Cirrhosis, B. Budd - chiari syndrome, C. Congestive cardiac failure, D. Nephrotic syndrome
D: Nephrotic syndrome
Answer: D: Nephrotic syndrome 
Explanation: SAAG < 1.1g/dL

Biliary leak
Nephrotic syndrome
Pancreatitis
Tuberculosis
Peritoneal carcinomatosis.