<s>[INST] Mom has been diagnosed with Cirrhosis. There is no known cause for it. Her liver and spleen are enlarged and she is retaining a large amount of fluid. The Dr. s attempted to do a paracentesis on her today, but were unable to due to the fact that the fluid is in her tissues not in an open area where they are able to drain it. Could she possibly have cancer? Her lab values are fantastic except for low hematocrit, low platelet count, and low hemoglobin. She s also anemic. [/INST] Hi, Thanks for asking. Based on your query, my opinion is as follows.1. No, it is not cancer.2. Cirrhosis causes portal hypertension, which can result in ascites, which results in accumulation of fluid in abdomen.3. Anemia requires correction, along with improvement in platelet count. Possible associated It B12 deficiency needs evaluation.4. In cirrhosis, internal bleeding is common. Endoscopy for esophageal varices and stool examination will be helpful.5. Ultrasound guided aspiration maybe done. Fluid aspirated can be sent for cytology study, to confirm its benign nature. Hope it helps. Any further queries, happy to help again. </s>