Budd-Chiari syndrome. A 29-year-old female with known Behcet’s disease presented with acute and severe right upper quadrant pain and abdominal distension. Abdominal US study showed fresh thrombus within the hepatic veins (not shown). Subsequent venous phase axial CT scan shows thrombosed hepatic veins (arrows). The liver parenchyma demonstrated heterogeneous contrast enhancement with severe parenchymal heterogeneity