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Fig. 10C —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. Color Doppler sonogram, shown here in gray
scale, discloses two iso- and hyperechoic nodules (arrowheads)
surrounded by thin hypoechoic halo. Spectral study shows low resistance
arterial waveform with high velocity.
