The clinical presentation and abnormal laboratory findings (elevated bilirubin, alkaline phosphatase, GGT, AST, ALT, and decreased albumin) suggest a worsening liver function in this patient with a history of alcoholic cirrhosis.

Ultrasound and CT findings indicate dilation of paraumbilical veins secondary to portal hypertension in this patient with cirrhosis.

Paraumbilical veins are anastomosis between the ventral abdominal wall and the left portal vein. Patent and dilated paraumbilical veins might be present in cases of portal hypertension, as they help to compensate for hypertension.

Acknowledgments: I would like to recognize Tochukwu Duru, MD, and Jing Harakh, MD, Diagnostic Radiology Department, for assisting in the creation of this case.