PMC7240902_01
Contrast-enhanced CT axial section shows heterogenous enhancement of the liver parenchyma in the arterial phase (A) which becomes homogenous in the venous phase (B)
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F1
The CECT revealed heterogenous enhancement of the periphery of the liver in the arterial phase [Figure 1A] which becomes homogenous in the venous phase [Figure 1B].
Axial CT image in the arterial phase acquisition (A) and 3D volume rendered image (B) showing enlarged hepatic artery proper, measuring more than 10 mm. There is enlarged proper hepatic artery and its branches (long thin arrows in B) and early filling of the portal venous branch (short thick arrow in B) seen with fuzzy margins
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F2
In addition, there was moderately enlarged proper hepatic artery measuring 10 mm in diameter (normal <7 mm) and abnormally dilated intrahepatic branches of the hepatic artery and early filling of the portal venous branches [Figures 2A, B and 3].
Coronal (A) and sagittal (B) maximum intensity projection (MIP) images showing enlarged hepatic artery branches:long thin arrows (in A and B):and early filling of the portal venous branches:short thick arrow (in a and B). The enlarged main hepatic artery is marked with arrow head in B
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F3
In addition, there was moderately enlarged proper hepatic artery measuring 10 mm in diameter (normal <7 mm) and abnormally dilated intrahepatic branches of the hepatic artery and early filling of the portal venous branches [Figures 2A, B and 3]. There were abnormal tortuous vascular channels along the ligamentum teres with early filling of the branches of portal vein [Figures 3 and 4].
Axial CT image showing multiple tortuous early filling portal venous branches along the ligamentum teres (arrows) seen along with the left hepatic artery branches
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F4
There were abnormal tortuous vascular channels along the ligamentum teres with early filling of the branches of portal vein [Figures 3 and 4].