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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).