He was diagnosed with community acquired pneumonia with pleural effusion and was admitted for the treatment. He was started on iv antibiotics, his usg abdomen showed cirrhosis with mild ascites with portosystemic collaterals suggestive of portal hypertension as detailed. Cholelithiasis, edematous gall bladder wall likely due to ascites, right mild pleural effusion. Gastroenterology consult was taken and advice followed. Endocrinology consult was taken to control sugars and advice followed. With antibiotics his general condition improved and he was discharged in stable condition. Treatment in the hospital inj pantop 40 mg iv once a day inj alcofix lamp once a day inj vit k 10 mg once a day tab ciplar 40 mg once a day tab udiliv 300 mg twice a day tab livday 1 tab once a day tab lasilactone 20/50 mg once a day tab glycomet 1gm twice a day inj insulin (30/70) s/c twice a day inj taxim 1gm iv twice a day neb with levolin 1resp twice a day tab dolo 500 mg sos if fever syp vicodyn 1tsf twice a day.