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Fig. 2B —37-year-old man at follow-up examination after left hepatic lobectomy for resection of hepatocellular carcinoma; patient reported bilateral lower extremity swelling 10 days before MR examinations. Coronal 3D fat-saturated T1-weighted gradient-echo image (4.2/1.7; flip angle, 25°; matrix, 160 x 256; slice thickness, 2 mm after interpolation) obtained 40 sec after arterial peak of biphasic injection of double dose of gadolinium (0.1 mL/kg body weight at 2 mL/sec followed by 0.1 mL/kg body weight at 0.8 mL/sec) shows large hypointense filling defect in IVC (arrowheads) consistent with thrombus. Right hepatic vein and suprahepatic IVC (arrows) are patent. This was confirmed by Doppler sonography and contrast-enhanced CT (not shown). Low-signal-intensity areas within liver (asterisks) are consistent with infarcts.