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[Music] you should be on your left side or right sided heart failure well do our right side first because its so damn easy its just simple as to deal with the right side because its all about the damn lung disease okay if you look at this crazy lady what picture do you see inside of her belly what organs oh I color her liver yall know yall like to color so the liver and the spleen because both are enlarged arent they it even makes her belly bigger okay so on the right side her belly is actually bigger not because her old behind is pregnant is because she has ascites now if you look at the ascites next to that word put increased pressure in the portal vein increased pressure in the portal vein so thats Portal venous hypertension Venus portal vein hypertension increased pressure in the portal vein where it says enlarged liver and spleen you should have hepatomegaly right petals splenomegaliers and crap then you should be able to look up at the top it says maybe secondary to COPD