Fig. 20
From: Primary myelofibrosis: spectrum of imaging features and disease-related complications
Portovenous phase axial CT demonstrating Budd-Chiari syndrome in a patient with myelofibrosis. The middle hepatic vein (black arrow) and left hepatic vein (white arrow) are occluded and non-enhancing, and the inferior vena cava (not shown) is non-opacifying and slit-like. Note the early ‘nutmeg liver’ appearance in segment 7 which is a typical feature of Budd-Chiari syndrome