Fig. 9

A 53-year-old male patient with chronic liver disease underwent upper GI endoscopy and Triphasic MDCT scanning was done for HFL. A Upper GI endoscopy showed one esophageal varix grade II (dashed arrow) and three esophageal varices grade I (straight arrow). B Axial CT showed one esophageal varix grade II (dashed arrow) and three esophageal varices grade I (solid arrows). C Upper GI endoscopy showed hypertensive gastropathy. Axial CT showed the following; D submucosal varices grade I (round region), E dilated splenic vein (double-headed arrow) and perisplenic collaterals, F hilar perisplenic collaterals (marked region), G posterior border perisplenic collaterals (round region). Coronal CT shows the following; H Lower pole perisplenic collaterals (rectangular region), I enlarged LS diameter of the spleen 17.1 cm, J Lienorenal shunt (dashed arrow) and left renal vein (solid arrow).Axial CT demonstrates the following; K right internal oblique and transversus abdominal muscles pierced by varices (oval region), retroperitoneal varices passed from the right intramuscular varices anterior to the right quadratus lumborum muscle to enter posterior to the right psoas muscle (solid arrow), and subcutaneous lumbar varices (dashed arrow). L Right lateral rectus muscle pierced with intramuscular varices (oval region), right internal oblique and right transversus lumborum muscles pierced with intramuscular varices (rectangular region), right retroperitoneal varix (dashed arrow), and paraumbilical vein (solid arrow).Coronal CT shows the following; M right retroperitoneal varix passing anterior to the right quadratus lumborum muscle to pass posterior to the right psoas muscle (solid arrow), N posterior border perisplenic collateral veins (oval region), right and left intramuscular internal oblique and transversus abdominus varices, more prominent in the right side (rectangular region), right supradiaphragmatic varix (solid arrow), and left retroperitoneal varix (dashed arrows) passing anterior to the left quadratus lumborum and medially posterior to the left rectus abdominus muscle, O left supradiaphragmatic varix arising to the left supradiaphragmatic region (solid arrows). P Axial CT showed the left supradiaphragmatic varix passing above the left copula of the diaphragm. Q Sagittal CT showed the right intramuscular varices traversing through the lateral abdominal muscles (solid arrows). R Coronal CT showed the supradiaphragmatic posterior mediastinal varices (rectangular region). S Axial CT showed a hypovascular irregular HFL lesion in the arterial phase of the right hepatic lobe (oval region)