In this task, you are given a sentence in the Spanish language. Your task is to translate the Spanish sentence into the English language.

Example Input: ¿Qué medida define la frecuencia de padecer cáncer de pulmón entre las personas que fuman 20 cigarros al día respecto a las que no fuman?
Example Output: What measure defines the frequency of lung cancer among people who smoke 20 cigarettes a day compared to those who do not smoke ?

Example Input: La reacción entre una cetona y un reactivo de Grignard origina, tras hidrolizarse la sal formada, un
Example Output: The reaction between a ketone and a Grignard reagent causes, after hydrolysing the salt formed, a

Example Input: Pregunta vinculada a la imagen nº14 Mujer de 75 años que consulta por dolor abdominal e incremento del perímetro abdominal. No refiere antecedentes previos de hepatopatía. En la exploración física el abdomen está abombado con timpanismo central y matidez cambiante en flancos. No se aprecian masas ni visceromegalias. En la analítica destaca únicamente una cifra de hemoglobina de 10,9 g/dl, VCM 92 fl, con leucocitos y plaquetas normales. Bioquímica y perfil hepático normal. Mediante paracentesis se extrae líquido ascítico ambarino con gradiente de albúmina de 0,7 y citología sospechosa de malignidad. Se aporta TAC (imagen). ¿Cuál el diagnóstico más probable?
Example Output:
Question linked to image nº14 A 75-year-old woman consulted for abdominal pain and increased abdominal perimeter. It does not refer previous history of liver disease. On physical examination, the abdomen is bulging with central tympany and changing dullness in the flanks. There are no masses or visceromegalies. In the analysis, only a hemoglobin figure of 10.9 g / dL, VCM 92 fl, with normal leukocytes and platelets stands out. Biochemistry and normal hepatic profile. By means of paracentesis, amber ascitic fluid with an albumin gradient of 0.7 and cytology suspected of malignancy is extracted. TAC (image) is provided. What is the most likely diagnosis?