Figure 1. Contrast-enhanced computed tomography reconstruction images in the portal venous phase of a 70-year-old man diagnosed with liver cirrhosis. (A) Axial and (B) coronal maximum intensity projection images reveal signs of chronic liver disease, ascites, and a large pleural effusion in the right hemithorax with vessels piercing through the right hemidiaphragm (white arrows), communicating with the pulmonary circulation. (C) Tridimensional reconstruction showing the collateral vessels ascending through the right hemidiaphragm.