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Fig. 5A —50-year-old man with secondary Budd-Chiari syndrome. Tumoral
invasion of hepatic veins may be seen in hepatocellular carcinoma and other
invasive tumors such as sarcoma. Extended hepatocarcinoma tends to invade
vascular structures, although isolated invasion of hepatic vein does not have
clinical correlation. Gray-scale sonogram obtained in intercostal plane shows
large tumor (arrows) with central anechoic area (arrowheads)
that represents necrosis. Histologic study diagnosed paraganglioma.
