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. 2017 Feb 10;96(6):e5446. doi: 10.1097/MD.0000000000005446

Figure 2.

Figure 2

(A) Case 2 patient's axial view of preprocedure abdominal CT shows IHD dilatation and segmentation in both hemilivers, and abutting right hepatic artery (arrow). Segments II and III FLR was 21%. (B) Coronal view of preprocedure abdominal MRI shows bile duct enhanced narrowing at hepatic duct, CHD, and proximal CBD (arrow). (C) Trisectional PVE was performed using gelfoam particles and interlock coils with a diameter of 5 mm. Right PVE was performed (arrow) after the segment IV portal vein (P4) was blocked (arrowhead). (D) CT performed 5 days post-PVE indicated a perihepatic fluid collection (arrow) suspected of biloma. Additionally, a large quantity of pleural effusion (arrowhead) was seen in the right lung base. (E) In CT performed 3 weeks after PVE, spleen hypertrophy (arrow) was seen in comparison to (F) the pre-PVE abdominal CT; the segments II and III FLR was 25.5%, with a 4.5% increase in volume. CBD = common bile duct, CHD = common hepatic duct, CT = computed tomography, FLR = future liver remnant, IHD = intrahepatic duct, MRI = magnetic resonance imaging, PTBD = percutaneous transhepatic biliary drainage, PVE = portal vein embolization.