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There is evidence of aliasing at the IVC side of the TIPS.
The velocity at the portal side measures 73 cm/sec and at the distal (hepatic vein) portion of the TIPS where the aliasing is seen, the velocity measures around 280 cm/sec which is diagnostic of stenosis.
The main portal vein is patent showing hepatopetal flow, however the portal vein branches are thrombosed.
Marked volume of ascites could be seen.