Cavernous transformation of the right portal vein branch

Case contributed by Dr Roberto Schubert

Presentation

Patient with known thrombosis of the right intrahepatic portal vein branch, referred for MRI of the liver to rule out hepatocellular carcinoma.

Patient Data

Age: 60 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Transverse MPR of a Gd-enhanced 3D-LAVA sequence (portal venous phase) at the level of the portal vein bifurcation.

The right portal vein branch is filled by an organized thrombus with only minimal re-canalization and surrounded by multiple small tortuous vessels.  On MRA, the right portal branch is not visualized.

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