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DOI:10.2214/AJR.06.0134
AJR 2007; 188:1320-1323
© American Roentgen Ray Society

Clinical Observations

Enhancing and Expansile Portal Vein Thrombosis: Value in the Diagnosis of Hepatocellular Carcinoma in Patients with Multiple Hepatic Lesions

Zarine K. Shah1, Margaret G. McKernan, Peter F. Hahn and Dushyant V. Sahani

1 All authors: Department of Abdominal Imaging and Intervention, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St., White 270, Boston, MA 02114.

OBJECTIVE. The objective of this study was to determine whether the presence of enhancing and expansile portal vein thrombus is suggestive of the diagnosis of hepatocellular carcinoma.

CONCLUSION. In the presence of hepatic tumors, enhancing expansile portal vein thrombus is highly suggestive of hepatocellular carcinoma.

Keywords: abdominal imaging • cancer • liver disease


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