Budd-Chiari syndrome CT: Difference between revisions
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**Early enhancement of the caudate lobe and central liver around the inferior vena cava | **Early enhancement of the caudate lobe and central liver around the inferior vena cava | ||
**Delayed enhancement of the peripheral liver with accompanying central low density (flip-flop appearance) | **Delayed enhancement of the peripheral liver with accompanying central low density (flip-flop appearance) | ||
inhomogeneous mottled liver (nutmeg liver) | **inhomogeneous mottled liver (nutmeg liver) | ||
**Peripheral zones of the liver may appear hypoattenuating because of reversed portal venous blood flow | **Peripheral zones of the liver may appear hypoattenuating because of reversed portal venous blood flow | ||
inability to identify hepatic veins | **inability to identify hepatic veins | ||
**In the chronic phase, there is caudate lobe enlargement and atrophy of the peripheral liver in affected areas | **In the chronic phase, there is caudate lobe enlargement and atrophy of the peripheral liver in affected areas | ||
Revision as of 21:28, 6 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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Overview
CT
- CT scan may be helpful in the diagnosis of Budd-Chiari syndrome.
- Findings on CT scan suggestive of Budd-Chiari syndrome include:
- Early enhancement of the caudate lobe and central liver around the inferior vena cava
- Delayed enhancement of the peripheral liver with accompanying central low density (flip-flop appearance)
- inhomogeneous mottled liver (nutmeg liver)
- Peripheral zones of the liver may appear hypoattenuating because of reversed portal venous blood flow
- inability to identify hepatic veins
- In the chronic phase, there is caudate lobe enlargement and atrophy of the peripheral liver in affected areas