Passive hepatic congestion: cross-sectional imaging features.

Gore, Richard M.; Mathieu, Didier; White, Edward; Ghahremani, Gary G.; Panella, Joseph S.; Rochester, David

doi:10.2214/ajr.162.1.8273693

Cited by 73 publications

(30 citation statements)

References 6 publications

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“…1), as well as signs of cardiac failure (Fig. 2), were evidenced: severe enlargement of the right atrium, bilateral pleural effusion, ascites, dilated inferior caval and hepatic veins with retrograde contrast opacification, and hepatic congestion [9,10]. In addition, bilateral intense enhancement of the normal-shaped adrenal glands was present (Fig.…”

Section: Case Reportmentioning

confidence: 94%

Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock

Paar

2015

Cardiovasc Intervent Radiol

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In this report, images of intense adrenal enhancement in a 79-year-old female patient with right-sided heart failure and severe tricuspid insufficiency are presented. Only two cases of intense adrenal enhancement as a sign of cardiogenic shock were previously reported in the literature. Intense adrenal enhancement could be one of the earliest CT signs of cardiogenic shock. Its presence should be immediately reported to the referring physician as a sign of significant hemodynamic instability warranting early critical-care management.

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Section: Case Reportmentioning

confidence: 94%

Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock

Paar

2015

Cardiovasc Intervent Radiol

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“…1) at computed tomography (CT). Parenchymal heterogeneity and mottling during the portal phase ("nutmeg" liver) reflects delayed filling of small to medium size hepatic veins, while linear hypoattenuation paralleling the portal veins indicates distension of perivascular lymphatics [2]. At Doppler spectral analysis, the normally continuous, mildly undulating portal venous waveform becomes pulsatile due to transmission of the elevated central venous pressure to the portal system (Fig.…”

Section: Hepatic Veinsmentioning

confidence: 99%

Imaging of acute conditions affecting the hepatic vasculature

Heller

Hattoum

2012

Emerg Radiol

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“…The severity is varied from subclinical to cardiac cirrhosis. Typical appearances [4,26] (Fig. 17) include cardiomegaly, enlarged liver, mottled reticular enhance- ment more pronounced in the periphery due to stagnation of contrast materials.…”

Section: Passive Hepatic Congestionmentioning

confidence: 99%

Perfusion and parenchymal changes related to vascular alterations of the liver

Jang

Khalili

et al. 2011

Abdom Imaging

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Imaging plays a significant role in the diagnosis of vascular abnormalities of the liver and sometimes provides the only clue to the correct diagnosis. With advances of imaging techniques and multiphasic acquisition of liver imaging, various perfusion changes are frequently encountered. Correct imaging diagnosis of significant vascular diseases can prompt appropriate work-up and timely management. Accurate differentiation of clinically insignificant perfusion phenomena from clinically significant findings including neoplastic conditions and in the setting of post-transplantation is essential. This pictorial essay illustrates various perfusion and parenchymal changes associated with portal venous inflow, hepatic venous outflow, and non-portal venous third inflow and describes brief background pathophysiology and differential points.

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Passive hepatic congestion: cross-sectional imaging features.

Cited by 73 publications

References 6 publications

Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock

Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock

Imaging of acute conditions affecting the hepatic vasculature

Perfusion and parenchymal changes related to vascular alterations of the liver

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