Diffuse hepatocellular carcinoma with malignant portal vein thrombosis and arterioportal shunt
Known patient with liver cirrhosis developed progressive abdominal enlargement
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There is diffuse malignant infiltration of the medial segments of left and right hepatic lobes. There is early filling of right and left portal vein branches in the arterial phase suggesting underlying arterio-portal shunting which is associated with infarction of the lateral segment of left hepatic lobe from steel phenomenon. Moreover there is malignant thrombosis of the right and left portal vein branches reaching the confluence. Marked ascites is detected.