Modality |
Findings |
Upper GI endoscopy with biopsy |
Normal esophagus, diffuse erosive gastropathy, and normal duodenum; biopsy of gastric mucosa showed features suggestive of mild reactive gastropathy; no Helicobacter pylori identified; no evidence of intestinal metaplasia, dysplasia, or malignancy seen |
Chest X-ray |
Filling of right costophrenic angle and evocative of pleural effusion, with no left pleural effusion |
CT venogram |
No evidence of venous thrombosis |
Brain MRI |
Empty sella syndrome with papilledema, probably in relation to intracranial hypertension; no evidence of thrombosis |
HRCT of the chest without contrast |
It marked right pleural effusion with consolidation, bilateral pleuroparenchymal process more at the right side of the infective aspect |
Ultrasound of the abdomen |
Partial thrombus within the intrahepatic portion of the IVC measuring about 5.5 cm, attenuating more than 80% of the IVC lumen, with mild hepatomegaly, mild gallbladder wall thickening, and mild ascites |
CT of the chest, abdomen, and pelvis with IV contrast |
Large intrahepatic IVC and non-occlusive thrombus extending to the left hepatic vein with enlarged, engorged liver: findings suggestive of Budd-Chiari syndrome |