Case 17:   Budd-Chiari-Syndrome

Diagnostic Categories:

Clinical Presentation:

64 year old woman with ascites.

CT: Chronic obliteration of hepatic veins

Imaging Findings:

Typical chronic Budd-Chiari-syndrome: Atrophy of peripheral segments and significant hypervascular nodular regeneration of the central parenchyma, but no caudate lobe hypertrophy. None of the hepatic veins are patent. Note typical central hypervascularity and lobulated margins of the regenerating parenchyma, with "vessel penetration sign" within the hypervascular zone, discriminating this from a neoplasm.