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Figure 21


Fig. 10A 36-year-old man with primary thrombocythemia developed chronic Budd-Chiari syndrome that required transjugular intrahepatic portosystemic shunt (TIPS) placement. Patient has multiple benign nodules largely followed without changes. Sonogram shows distal thrombosis of middle and left hepatic veins (mhv and lhv, respectively) with collateral circulation within them (arrowhead). Note TIPS (arrows).