any cardiologist kindly give your valuable opinion

45 yr old female came to opd with SOB since 1 month,pedal and putting edema since 1 week with no co morbidity vitals bp-130/80 PR-101/min, irregular Spo2- 95with 4lits oxygen Treatment with Rosuvas gold lasix 20.tid Aldactone 25.od Digoxin 0.25.od Nebulisation and oxygen support Reports enclosed..pls suggest management

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How's the liver ??

Normal in size sir ..but free fluid in peritoneal cavity
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