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Abdomen » Hepatobiliary
Intrahepatic portal vein thrombus
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Author(s) :
Jim Mosley, RVT, RDMS
 
Presentation The patient presented to the ultrasound department by refferal from a previous MRI exam, which had suggested malignant liver tumors and the possibility of thrombosed intrahepatic portal veins.
 
 
 
Caption: Oblique scan to assess the right portal vein.
Description: Dynamic Flow color Doppler is utilized to confirm the absence of flow in the right portal vein.
 
 
 
Caption: Transverse image at porta hepatis.
Description: Conventional color Doppler depicts the extrahepatic main portal vein with hepatopedal flow. A flow void is noted in the right portal vein which exhibits an echogenic lumen.
 
 
 
Caption: 3-D image of porta hepatis.
Description: Fast Fusion 3-D sweep of the liver at the porta hepatis with power Doppler confirms a flow void in the right portal vein.
 
 
 
Caption: Transverse scan at the level of caudate lobe.
Description: Transverse subxiphoid scan at the level of the caudate lobe of the liver suggests a thrombosed portal vein branch.
 
Differential Diagnosis Tumor invasion of right portal vein and portal vein branch to the caudate lobe
 
Final Diagnosis Intrahepatic portal vein thrombosis.
 
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