Fig. 6
From: Liver imaging and pregnancy: what to expect when your patient is expecting
Ultrasound (US) surveillance during pregnancy in a 29-year-old woman with chronic Budd-Chiari syndrome. Pre-pregnancy gadobenate dimeglumine contrast-enhanced MR images (a, b) obtained during portal venous phase (a) and hepatobiliary phase (b) show the occlusion of the hepatic veins (a—arrows) and multiple benign regenerative nodules with peripheral hyperintensity on hepatobiliary phase (b—arrows). Note the presence of a trans-jugular intrahepatic portosystemic shunt (TIPS) connecting the superior vena cava and the portal system. US examination performed during pregnancy (c, d) allowed to evaluate the patency of the TIPS (c), to monitoring the lesion size (d) and to eliminate the presence of ascites