Triphasic liver CT
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The liver is mildly enlarged, with multiple geographic mainly right lobe hypodense non-enhancing patches (perfusion difference).
The portal vein (with its right and left main branches) and splenic vein are distended with luminal thrombosis. The superior mesenteric vein and the inferior mesenteric vein as well as their branches are completely thrombosed (mesenteric vascular occlusion).
The spleen is markedly enlarged (measuring 22 cm) showing multiple wedge shaped non enhanced areas representing splenic infarcts