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DOI:10.2214/AJR.05.0168
AJR 2007; 188:W168-W176
© American Roentgen Ray Society

Pictorial Essay

Budd-Chiari Syndrome: Spectrum of Imaging Findings

Giuseppe Brancatelli1,2,3, Valérie Vilgrain4, Michael P. Federle3, Antoine Hakime4, Roberto Lagalla2, Riccardo Iannaccone5 and Dominique Valla6

1 Sezione di Radiologia, Ospedale Specializzato in Gastroenterologia, Saverio de Bellis, IRCCS, Castellana Grotte, Italy.
2 Istituto di Radiologia, Università di Palermo, Via Villaermosa 29, 90139 Palermo, Italy.
3 Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.
4 Service de Radiologie, Hopital Beaujon, Clichy 92118, France.
5 Istituto di Radiologia, Università di Roma La Sapienza, Policlinico Umberto I, Roma 00161, Italy.
6 Service de Hepatologie, Hopital Beaujon, Clichy 92118, France.

OBJECTIVE. The objective of our study was to illustrate the imaging findings of Budd-Chiari syndrome, including CT, MRI, sonographic, and angiographic findings.

CONCLUSION. The key imaging findings in Budd-Chiari syndrome are occlusion of the hepatic veins, inferior vena cava, or both; caudate lobe enlargement; inhomogeneous liver enhancement; and the presence of intrahepatic collateral vessels and hypervascular nodules. Awareness of these findings is important for early diagnosis and appropriate treatment.

Keywords: CT • Budd-Chiari syndrome • liver disease • MRI


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