Porto-sinusoidal Vascular Disease: What Radiologists Should Know

Abstract

Porto-sinusoidal vascular disease (PSVD) is a rare hepatic vascular disorder that can cause portal hypertension. Its diagnosis can be challenging, as its clinical manifestations can overlap with those of liver cirrhosis. However, radiological imaging can provide valuable clues to differentiate PSVD from liver cirrhosis. This review aims to identify imaging findings that suggest PSVD in cross-sectional imaging and ultrasound elastography, enabling the suggestion of a liver biopsy that is essential for diagnosis of PSVD.