Figure 8. a–d.

A 73-year-old woman with nonalcoholic steatohepatitis (NASH)-related cirrhosis and tumor thrombus. Contrast-enhanced CT shows increased diameter of the main portal vein caliber with unequivocal enhancing soft tissue within the vein (a, arrow) and subsequent washout (arrows) during portal venous (b) and delayed (c) phases consistent with tumor thrombus. Coronal image on portal venous phase (d) shows the extension of the macrovascular invasion involving the main portal vein (arrow) and portal confluence.