Female 66 years old Reason: stenosis of IVC on recent transjugular liver biopsy, please eval for vascular abnormalities History: HCV, elevated portal pressures. ABDOMEN:LIVER, BILIARY TRACT: Liver has mildly widened fissures and hypertrophy of the caudate suggesting chronic liver disease. There is narrowing of the IVC near the diaphragm due to caudate and surrounding central hepatic hypertrophy. No definite mass lesion identified in the liver. Study suboptimal due to the lack of intravenous contrast.SPLEEN: No significant abnormality noted.PANCREAS: There is mild pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Focal scarring at the upper pole of the right kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Narrowing of the intrahepatic IVC near the diaphragm due to caudate and hepatic parenchyma hypertrophy surrounding the IVC. Contrast extravasation description:Supervising radiologist: MULLIGANMinor or major extravasation: MinorContrast type:16 cc of MultiHance were administered. and salineAmount extravasated: 35 ccLocation of extravasation: Left antecubital fossaSigns and symptoms: Swelling, painTreatment given: Cold compressDischarge instructions given: Yes 