Presentation
Gradually increasing abdominal distension and discomfort.
Patient Data
Age: 35 years
Gender: Female
From the case:
Budd-Chiari syndrome
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Abnormal shape of the liver in terms of hypertrophy of the caudate lobe which displays homogenous enhancement. The periphery of the liver is slightly lobulated due to atrophic changes. Inhomogeneous mottled liver parenchyma (nutmeg liver) is noted. The hepatic veins could not be identified. There is moderate ascites.
Case Discussion
This case shows the classic appearance of chronic Budd-Chiari syndrome particularly the caudate lobe hypertrophy, nutmeg liver and attenuated hepatic veins.
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