2-year-old male with history of hepatoblastoma. Evaluate middle hepatic vein. The liver measures approximately 14 cm. The main portal vein is patent, with normal hepatopetal flow. The right hepatic vein is normal. Left hepatic vein is only partially visualized, due to involvement with the hepatic mass. The middle hepatic vein has blood flow distally, but no flow in the proximal middle hepatic vein which could be due to tumor invasion or compression. Additionally, the middle hepatic vein is laterally displaced to the right by a hepatoblastoma.
Hepatic tumor again visualized, with middle hepatic vein distal patency as above. Proximal middle hepatic vein blood flow cannot be confirmed. The findings were discussed with Dr.Mak at the time of dictation.