case_images: PMC10563462_01
case_images: Thrombosis of the main portal vein demonstrated in ultrasound imaging.
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case_images: Next day, the patient was started on prednisone 40 mg once a day, and magnetic resonance imaging (MRI) abdomen without contrast was performed which revealed hepatosplenomegaly (Figure 1), questionable mild gallbladder wall thickening with a normal biliary tree, and normal pancreatic duct.
case_images: Magnetic resonance imaging (MRI) abdomen in coronal T2 view showing hepatomegaly and splenomegaly.
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case_images: Further investigation with contrast was recommended, which demonstrated new findings of liver with fatty infiltration and umbilical vein recanalization (Figure 2).
case_images: Magnetic resonance imaging (MRI) abdomen with and without contrast. Red arrow pointing to recannulized umbilical vein in the patient with portal vein thrombosis.
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case_images: Abdominal duplex ultrasound was pursued, which produced consistent findings of thrombus in the main portal vein (Figure 3).