Presentation
History of HCC and IVC thrombosis.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
![](https://prod-images-static.radiopaedia.org/images/17512795/b70ce80869971378dad980812911b113b853c7ef4978eaf7f19625f6e092cf2d_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/17512802/db9668894cd4cb04cd238703f9d85c88ca1ce6673811d3ec253511a239396ccd_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/17512795/b70ce80869971378dad980812911b113b853c7ef4978eaf7f19625f6e092cf2d_big_gallery.jpeg)
There is a round echogenic lesion within the IVC extending to the right atrium.
Mild right pleural effusion.
![](https://prod-images-static.radiopaedia.org/images/17765138/fec6776d7d01f3daf90cbebb70999ae8d975e197a978922f7a38cd48be994bd2_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/17765139/d3b59060535513b6e18acdb20a5bfe5da056b7aa21eb9b6817203a92d3e480f9_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/17765142/69e55fb10d1e56f89ad3888738599217ce743eb32b2f00e9eb8e90f04172f5a6_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/17765138/fec6776d7d01f3daf90cbebb70999ae8d975e197a978922f7a38cd48be994bd2_big_gallery.jpeg)
Filling defect within IVC that shows continuity with the primary tumor in the liver and extends to the right atrium, consistent with a tumor thrombus.
Mild right pleural effusion.
Moderate free ascites and hydrocele.
Case Discussion
Features of a tumor thrombus extending from the primary liver tumor into IVC and extending to the right atrium.