case_images: PMC3764699_01
case_images: Fluorodeoxyglucose positron emission tomography, maximum intensity projection image showing the hypermetabolic thrombus involving the right and left branches of the portal vein (thin arrows), the main portal vein (block arrow), splenic (arrowhead) and superior mesenteric (curved arrow) veins
case_images: IJNM-28-54-g001.jpg
case_images: PMC3764699_01_IJNM-28-54-g001.jpg
case_images: F1
case_images: The maximum intensity projection image shows hypermetabolic thrombus involving the right and left branches of the portal vein (thin arrows), the main portal vein (block arrow), splenic (arrow head) and superior mesenteric (curved arrow) veins [Figure 1].
case_images: The left panel shows the computed tomography (CT) images and the right panel shows the fused positron emission tomography CT images. The CT images in the left panel shows a filling defect completely occluding the lumen of the right and left portal veins and the main portal vein. The arrow in the right upper panel shows the hypermetabolic tumor thrombus in the branches of the portal vein and in the lower panel the thrombus in the main portal vein
case_images: IJNM-28-54-g002.jpg
case_images: PMC3764699_01_IJNM-28-54-g002.jpg
case_images: F2
case_images: The mass in the right lobe of liver directly invades the portal vein branches and shows attenuation characteristics same as that of the tumor [Figure 2, left panel]. The fused PET CT image shows the hypermetabolic tumor thrombus in the branches of portal and in the main portal vein [Figure 2, right panel].
case_images: The left panel shows the computed tomography (CT) images and the right panel shows the fused positron emission tomography CT images. The arrow in the right upper panel shows the hypermetabolic tumor thrombus in superior mesenteric vein and in the lower panel the thrombus in the splenic vein
case_images: IJNM-28-54-g003.jpg
case_images: PMC3764699_01_IJNM-28-54-g003.jpg
case_images: F3
case_images: Hypermetabolic filling defects were also seen in superior mesenteric vein [Figure 3, upper panel] and splenic vein [Figure 3, lower panel].