Oral mucosa moist. Heart tachycardic and regular. No gallops are heard. Lungs clear with good aeration. Abdomen distended and firm.
Severe hepatomegaly is noted.
There is a 4 cm strawberry hemangioma over the right flank region. Pulses are slightly weak. A nasogastric tube is inserted. The chest portion of the radiograph shows cardiomegaly. Although the central pulmonary vascularity may be slightly prominent, the lungs are largely obscured by the cardiomegaly.