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Fig. 1D —62-year-old woman with history of hereditary hemorrhagic telangiectasia who presents with high-output cardiac failure. Axial images from early (C) and late (D) arterial phases of contrast-enhanced abdominal CT show hepatomegaly, enlarged inferior vena cava, and early opacification of hepatic veins. Numerous subcentimeter nodules fill liver and show rapid enhancement, consistent with telangiectasia. No findings of cirrhosis or portal hypertension are evident.