PMC6159308_01
Pre-procedure contrast-enhanced CT scan of the abdomen in the portal venous phase demonstrating occlusive thrombus in the (a) hepatic veins (arrow), (b) inferior vena cava (arrow) and (c) main portal vein (arrow), extending into the splenic vein and superior mesenteric vein. All the images demonstrate a background hepatic parenchymal congestion with a mosaic enhancement pattern, giving a "nutmeg" appearance.
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fig1
This showed extensive filling defects in the hepatic venous confluence, HVs, PV and superior mesenteric vein (SMV), and a patent splenic vein (SV), which was consistent with acute thrombotic disease (Figure 1a-c).