Male, 49, weight loss (10kg in 6 months), polyarticular pai | Figure 1

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Male, 49, weight loss (10kg in 6 months), polyarticular pain with edema in big joints, and this dermatologics lesions 1 month after. There is testicular edema and pain too. Abdominal US with ascite, portal hypertension, chronic fibrosis in hepatic parenchyma and hyperecogenic peri portal. What is this?!

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Ultrasound of the liver at the hepatic hilum with color Doppler interrogation of the main portal vein shows a heterogeneous appearance of the liver with multiple small echogenic foci and a spikelike wave pattern of the portal vein waveform. What is your differential diagnosis for these findings? #FridayQuizDay #FridayQuiz