(Budd-Chiari syndrome)

Liver demonstrates dysmorphic parenchyma with patchy ill-defined low attenuation involving the entire left lobe with lack of opacification of left and middle hepatic veins as described above –Recommend further evaluation with DSA with concern for hepatic venous outflow obstruction (Budd-Chiari syndrome)

A small thrombus at the junction of portal vein and superior mesenteric vein.

Mild to moderate amount of free fluid in abdomen and pelvis with diffuse mesenteric fat stranding in the upper abdomen and mild diffuse thickening of greater omentum – possibility of secondary infective peritonitis cannot be ruled out.

Focal area of mesenteric thickening in the region of lesser sac

A few tiny bilateral renal non-obstructing calculi.

Recommend DSA evaluation of hepatic veins, further evaluation in view of prothrombotic state , follow up