Cirrhosis and portal vein thrombosis
Diagnosis certain
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Findings
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LiverThe liver is reduced in size, with jagged edges and diffusely heterogeneous echotexture (granular appearance). Enlarged spleen. The portal vein is bordered with difficulty, with hypoechoic material inside. There is no flow at color andcolour and spectral Doppler Doppler.
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Typical sonographic features of cirrhosis characterised by coarse liver echotexture and nodular surface. Although no focal suspicious lesions for HCC were seen on this ultrasound, in the setting of portal venous thrombosis, a further assessment with multiphase CT is recommended to rule out tumoral thrombus.
Cirrhosis is the common endpoint of a wide variety of chronic disease processes which cause hepatocellular necrosis.
-<p><strong><a href="/articles/cirrhosis">Cirrhosis</a></strong> is the common endpoint of a wide variety of chronic disease processes which cause hepatocellular necrosis.</p>- +<p>Typical sonographic features of cirrhosis characterised by coarse liver echotexture and nodular surface. Although no focal suspicious lesions for HCC were seen on this ultrasound, in the setting of portal venous thrombosis, a further assessment with multiphase CT is recommended to rule out tumoral thrombus. </p><p><a href="/articles/cirrhosis">Cirrhosis</a> is the common endpoint of a wide variety of chronic disease processes which cause hepatocellular necrosis.</p>