Fig. 7

A 60-year-old female patient with chronic liver disease and esophageal varices on follow-up after esophageal varices band ligation. Upper GI endoscopy was done for variceal scanning, and triphasic MDCT scan was done for HFL scanning. A Upper GI endoscopy shows obliterated varices. Axial CT shows the following; B no esophageal varices (solid arrow), C, D dilated paraesophageal varices grade IV (oval region); letter A denotes Aorta, E retrogastric (adventitial) varices (round region), F, G markedly dilated and tortuous both left gastric (coronary) varix (solid arrows)in F, and splenic vein in G, H heterogeneous enhancing lesion in the right lobe of the liver, suggestive of a HFL lesion. Both I, J show right dilated, tortuous cardiophrenic varices, where appeared in Axial CT in figure (I) (solid arrows), and in Coronal CT in figure (J) (oval region). K Axial CT shows left hepatic shunt (arrow), L Coronal CT shows left hepatic shunt (solid arrow), ascending left supradiaphragmatic varix piercing the left diaphragm to reach the chest (dashed arrow). M Axial CT shows enhanced hepatic focal lesion appeared in arterial phase (round region)