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Review
. 2018 Jan 31;11(1):27-32.
doi: 10.1002/cld.686. eCollection 2018 Jan.

Imaging features of hepatic arterial and venous flow abnormalities

Abigail Mills  1 , Vincent Mellnick  1
Affiliations
Review

Imaging features of hepatic arterial and venous flow abnormalities

Abigail Mills et al. Clin Liver Dis (Hoboken). .
No abstract available

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Figures

Figure 1
Figure 1
Postoperative aortic and celiac thrombosis. Axial (A, B) and sagittal (C) postcontrast CT images demonstrate a wedge‐shaped area of low attenuation in the left hepatic lobe (A) (arrowhead), representing transient hepatic attenuation difference secondary to hypoperfusion caused by aortic thrombus extending into the celiac trunk, (B, C) (arrows) which formed after endovascular treatment for median arcuate ligament syndrome.
Figure 2
Figure 2
Bile duct necrosis and biloma formation after arterial occlusion complicating liver transplantation. Arterial phase (A) and portal venous phase (B) postcontrast fat‐saturated T1‐weighted MRI sequences show an occluded arterial conduit for transplant (arrows). Biliary necrosis resulted in multiple intrahepatic biliary strictures, seen on the T2‐weighted maximum intensity projection MRCP image (C), and intrahepatic fluid collections consistent with bilomas (arrowheads), seen on the T2‐weighted single‐shot fast spin‐echo MR image (D).
Figure 3
Figure 3
Portal venous thrombosis secondary to pancreatitis. Axial postcontrast CT images (A‐C) demonstrate retroperitoneal fluid and fat stranding surrounding the pancreatic body and tail (C) (arrowhead), consistent with acute pancreatitis. There is associated thrombosis of the splenic vein that extends to the portosplenic confluence, where there is nearly occlusive thrombus in the main portal vein (A) (arrow).
Figure 4
Figure 4
Portal vein tumor thrombus. Axial noncontrast (A) and postcontrast arterial (B) and portal venous (C) phase T1 three‐dimensional gradient‐echo fat‐saturated MR images demonstrate a hypointense lesion in the right lobe of the liver (arrowhead), consistent with hepatocellular carcinoma. An enhancing tumor thrombus is seen in the adjacent portal vein (C) (arrow).
Figure 5
Figure 5
Acute versus chronic Budd‐Chiari syndrome. Postcontrast axial CT images (A and B) show a large, heterogeneous liver, ascites (arrowhead), and nonvisualization of the hepatic veins. Postcontrast T1‐weighted MR image (C) demonstrates the classic “nutmeg” appearance of the parenchyma, surface nodularity (a sign of atrophy), and collateral formation (arrow).
Figure 6
Figure 6
Hepatic vein thrombophlebitis. Coronal (A) and axial (B, C) CT images show an abscess in the dome of the liver (A), which has associated thrombosis of the middle hepatic vein (A) (arrowhead), as well as the right main portal vein (B). The patient improved after treatment for cholangitis arising from an obstructing common bile duct stone (C) (arrow).
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