Fig. 4

A 42-year-old female patient with chronic liver disease and esophageal varices; A Upper GI endoscopy shows 2 cords of grade 2 (arrows) with a red cherry spot (dashed arrow). Axial CT shows the following; B esophageal varices; upper arrow for grade II and lower arrow for grade I, C paraesophageal varices (solid arrows), D retrogastric (adventitial) varices, (rectangular region), E left gastric (coronary) vein (solid arrow), F dilated tortuous splenic vein (solid arrows), G Hilar splenic varices (rectangular region), H perisplenic (posterior border) varices, I Perisplenic collaterals in a lower pole. Coronal CT displays the following; J Large splenic LS diameter measuring 27 cm, K A lienorenal shunt (dashed arrow) and left renal vein (solid arrow). Axial CT shows, L Retroperitoneal (right pararenal) (solid arrow) and portal vein (dashed arrow) varices, M Paraovarian and pelvic varices (solid arrows), N perirectal varices (solid arrows). O, P Left supradiaphragmatic varices are visible in a coronal CT (O) and axial CT (P)