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. 2023 Mar 18;48(6):2167–2195. doi: 10.1007/s00261-023-03877-2

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© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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Fig. 7 — A 19-year-old female patient with known Budd–Chiari syndrome secondary to essential thrombocytosis. a Axial plane postcontrast MR image showed peripheral hypoperfused parenchyma within the right liver lobe (arrows). Also noted were ascites and multiple regenerative parenchymal nodules (arrowheads). The patient subsequently underwent a direct intrahepatic portocaval shunt procedure. b Contrast-enhanced MRI 18 months after the initial presentation showed almost complete homogenization of the liver parenchyma and disappearance of ascites. Note was also made of the intrahepatic portocaval shunt (arrowhead)