Budd-Chiari syndrome and nutmeg appearance of the liver
Post-contrast transverse CT image of the liver showing the presence of a filling defect in the intra-hepatic caudal vena cava and left hepatic veins. Abnormal contrast enhancement of the hepatic parenchyma is observed with “nutmeg appearance” more marked at the level of the left hepatic lobes (hepatic perfusion disorder). There is also diffuse enlargement of all the liver lobes with smooth and round margins.
Sagittal oblique post-contrast MPR image showing the filling defect of the intra and post-hepatic caudal vena cava and hepatic veins.