case_images: PMC5952433_01
case_images: (H&E, 100x) needle core biopsy of hepatic parenchyma demonstrating central vein and sinusoidal dilatation.
case_images: CRIHEP2018-2704949.001.jpg
case_images: PMC5952433_01_CRIHEP2018-2704949.001.jpg
case_images: fig1
case_images: The liver biopsy revealed mild sinusoidal dilatation, no inflammation or fibrosis, trace iron deposition and was considered unremarkable, other than mild outflow obstruction (Figure 1).
case_images: Endoscopic view of a trace varix.
case_images: CRIHEP2018-2704949.002.jpg
case_images: PMC5952433_01_CRIHEP2018-2704949.002.jpg
case_images: fig2
case_images: An EGD demonstrated trace esophageal varices (Figure 2).
case_images: (Reticulin, 100x) hepatic parenchyma exhibiting subtle nodularity without significant fibrosis.
case_images: CRIHEP2018-2704949.003.jpg
case_images: PMC5952433_01_CRIHEP2018-2704949.003.jpg
case_images: fig3
case_images: A second interpretation of the liver biopsy noted mild venous outflow obstruction and possibly Nodular Regenerative Hyperplasia (NRH, Figures 3 and 4).
case_images: (Reticulin, 200x) hepatic plate thinning and compression adjacent to an area of nodularity.
case_images: CRIHEP2018-2704949.004.jpg
case_images: PMC5952433_01_CRIHEP2018-2704949.004.jpg
case_images: fig4
case_images: A second interpretation of the liver biopsy noted mild venous outflow obstruction and possibly Nodular Regenerative Hyperplasia (NRH, Figures 3 and 4).