Budd-Chiari syndrome
Updates to Study Attributes
Mottled peripheral hypodensity to the right liver, mainly in the periphery of segments V, VI, VII and VIII. RightThe right and middle hepatic veins do not opacify. LeftThe left and caudate lobes of the liver have a normal appearance with normal opacification of enlarged left hepatic veins. PortalThe portal veins opacify normally. As best as can be determined the peripheral right portal vein branches opacify normally. If HepaticThe hepatic artery is not well seen secondary to timing of the CT. Splenomegaly.
Cholecystectomy. Adrenal glands, kidney and pancreas have a normal appearance. Cholecystectomy noted. No free fluid or free gas.
Bilateral pleural effusions, larger on the left. Minor bibasal atelectasis.
Conclusion:
Appearances are of right liver hypoperfusion, probably from venous congestion from right and middle hepatic vein complete thrombosis. This represents Budd-Chiari syndrome.
Updates to Case Attributes
Ultrasound confirmsconfirmed the presence of occlusive thrombus within the right and middle hepatic veins in keeping with Budd-Chiari syndrome. Normal flow direction in the portal veins.
-<p>Ultrasound confirms the presence of occlusive thrombus within the right and middle hepatic veins in keeping with <a title="Budd-Chiari syndrome" href="/articles/budd-chiari_syndrome">Budd-Chiari syndrome</a>. Normal flow direction in the portal veins. </p>- +<p>Ultrasound confirmed the presence of occlusive thrombus within the right and middle hepatic veins in keeping with <a href="/articles/budd-chiari-syndrome-1">Budd-Chiari syndrome</a>. Normal flow direction in the portal veins. </p>
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