Don’t Cry me a River

Georgette is a lively 35 yo who revels in exercise, healthy eating and hard work. She is a successful entrepreneur who runs several small businesses in spite of inheriting a rather large investment portfolio from her parents that left her not needing to work. Her significant other, Bobby, is from a similar background but pretends that his wealth did not come from “Daddy”. Bobby spends most of the time at the gym and encourages Georgette to do the same. In fact, he begins to rail against Georgette that she is gaining weight and that her abdomen is showing signs of distention. Georgette responds that she has noticed it too, but that she is feeling tired, and no matter how little she eats and tries to exercise, her “belly” continues to grow. To which Bobby icily responds, “please don’t cry me a river.” A week later Georgette enters the hospital where she is diagnosed with ascites due to ovarian cancer metastasis and low levels of plasma albumin.  

Question: Which indicated organ is diseased and responsible for the ascites and low plasma albumin?

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