Abdominal pain, anorexia and abdominal distension for two years.
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Inhomogeneous mottled liver with significant nodular enhancement of the central liver parenchyma and irregular outlines of liver (the so-called nutmeg liver) with hypertrophy of caudate lobe associated with non-visualization of the hepatic veins and massive ascites.
These above features are suggestive of Budd-Chiari syndrome.