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A 75-year-old man with HCV-related cirrhosis, history of treated HCC and co-existence of bland and tumor thrombi. Contrast-enhanced CT on hepatic arterial phase shows enhancing tumor thrombus (a, arrow) in the upper branch of the left portal vein and bland non-enhancing thrombus (b, arrowhead) in the left portal vein. Coronal images (c) better demonstrate the co-existence of tumor (arrow) and bland (arrowhead) thrombus in the same patient.
