Fig. 11
From: Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis
Alveolar echinococcosis lesion of the right liver in a 44-year-old man complicated by advanced chronic liver disease secondary to Budd Chiari syndrome. A CT image in the coronal plane at the portal phase showing alveolar echinococcosis of the right liver (arrow) associated with infiltration to the pedicle (arrowheads). B CT image in the axial plane obtained during the portal phase: invasion of the inferior vena cava and the ostium of the hepatic veins (arrowheads). C CT image in the axial plane obtained during the portal phase: infiltration of the right liver pedicle (arrowheads) D. Hypertrophy of the left liver lobe and surface nodularity suggestive of advanced fibrosis. Note the mosaic pattern of enhancement, sign of hepatic sinusoidal dilatation, as a result of the Budd Chari syndrome