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A 47-year-old man with alcohol-related cirrhosis. Conventional ultrasound examination depicts the presence of a hyperechoic lesion in the left hepatic lobe (a) and a heterogeneously hyperechoic thrombus (b, arrow) expanding the left portal vein. Subsequent contrast-enhanced CT (c, d) confirmed the presence of a tumor thrombus in the left hepatic vein (arrows).
