Nutmeg appearance of the liver

Case contributed by Douglas Bates
Diagnosis almost certain

Presentation

Abdominal pain

Patient Data

Age: 50 years
Gender: Female
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Contrast reflux into the hepatic vein during the arterial phase. Nutmeg appearance of the liver during portovenous and delayed phase.

Same patient: arterial phase CT shows the extent of venous reflux, thought to be the cause of this nutmeg liver.

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