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Fig. 11B —Blooming contrast-enhanced sonography pattern evolving into multipunctate pattern in intensely vascularized malignant thrombus in 75-year-old man. Oblique contrast-enhanced sonography scan with longitudinal view of portal vein during arterial phase. Within poorly enhanced lumen of left branch of portal vein is diffusely enhanced area (arrows) representing thrombus with rich internal neovascularity (blooming pattern).