PMC3385500_01
PMC3385500_02
PMC3385500_03
CT images before surgery in Case 1. Figure 1a is coronal MIP reconstructed image in arterial phase that shows tortuous and irregular arteries in liver and portahepatis. Heterogeneity of the contrast enhancement in hepatic parenchyma with multiple opacified vessel masses is also observed. (b) VRT image shows two tortuous and distended arteries derived from the celiac trunk supplying the left and right lobes of the liver.
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F1
There was heterogeneous enhancement in hepatic parenchyma with multiple opacified vessel masses and tortuous arteries beneath the capsule of the liver [Figure 1a]. Tortuous arteries in hepatic parenchyma and vessel masses in the late arterial phase were seen [Figure 1b].
CT images after surgery in (a) arterial phase and (b) VRT respectively. The arteries in porta hepatis are decreased compared with those before operation.
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F2
On contrast enhanced CT, MIP, and VRT images [Figures 2a, b] the amount of abnormal arteries decreased in porta hepatis.
CT images in arterial phase and VRT respectively in Case 2. Irregular and tortuous arteries in the liver parenchyma, and porta hepatis are present. The intra-hepatic billary ducts are dilated. Splenomegaly with gastric varices is identified.
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F3
VRT images [Figures 3a, b], many tortuous, twisted, and irregular arteries were present in liver parenchyma, porta hepatis, and in front of the abdominal aorta. Varicose veins were identified in the gastric wall, greater omentum, and anterior abdominal wall.
CT images in arterial phase and VRT respectively in Case 3. Enlarged caudate lobe is present. Tortuous vessels are observed in the porta hepatis.
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F4
On the arterial phase, MIP, and VRT images [Figures 4a, b], celiac trunk was mildly dilated and thicker vessel masses were identified in porta hepatis.