Fig. 2

A 53-year-old female patient complaining of chronic liver disease and HFL. Upper GI endoscopy was done for variceal scanning and triphasic MDCT scan was done for HFL scanning. A Upper gastrointestinal (GI) endoscopy demonstrates two cords of esophageal varices grade II (solid arrows). Axial (CT) shows the following; B two esophageal varices of grade II (solid arrow), C paraesophageal varices grade I (arrows), D dilated, tortuous splenic vein (arrow), E Hilar perisplenic collaterals. F Anterior pole perisplenic collaterals. G Coronal CT shows splenomegaly (splenic LS diameter = 22 cm. Axial CT shows the following; H, I dilated and tortuous right hepatic shunt (solid arrow), a left hepatic shunt (dashed arrow), and right rectus abdominus muscle penetrated with dilated, tortuous varices (oval area), J, K right hepatic shunt (solid arrow), paraumbilical vein (dashed arrow), and right intrarectal muscle varices (oval region). L Coronal CT demonstrates right intra-rectus muscle varices (solid arrow), and a paraumbilical vein (dashed arrow). M Axial CT shows an enhanced hepatic focal lesion noted in the arterial phase