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Fig. 1A. —60-year-old woman whose clinical indication for liver biopsy was increasing value of results from liver function tests. Patient had undergone orthotopic liver transplantation 13 years earlier. Venogram of middle hepatic vein (arrows) shows normal flow in vein but acute angulation of vein to inferior vena cava (arrowhead), which precluded safe placement of stainless steel trocar and sheath in vein for biopsy.