Presentation
Abdominal pain and distention.
Patient Data
Age: 55 years
Gender: Female
From the case:
Budd-Chiari syndrome
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Marked hepatomegaly is seen and the liver shows heterogeneous mottled enhancement with early enhancement of central liver. Hepatic veins and IVC are not identified . A 115×59 mm subcapsular fluid accumulation is seen medial to inferior portion of right liver lobe with heterogeneous content.
Diffuse subcutaneous soft tissue edema is seen.
A 73×60mm well-defined mass is seen at right pelvis most likely consistent with myoma.
Case Discussion
Hepatomegaly with nutmeg appearance and inability to identify hepatic veins and upper portion of IVC; features are the most likely compatible with Budd-Chiari syndrome.
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