Fig. 8

Budd-Chiari syndrome. A 23-year-old male with factor 5 Leiden mutation presented with acute epigastric pain and elevated liver enzymes. Abdominal US study demonstrated fresh thrombus in the hepatic veins and hepatomegaly. a Axial plane post-contrast CT image showed reduced perfusion within the periphery of the hepatic parenchyma (asterisks) with relatively normal enhancing central parenchyma (arrowheads). b Axial T2W MR image shows diffuse edema and congestion within the peripheral portion of the liver parenchyma (asterisks) which corresponds to non-enhancing liver parenchyma on CT