Budd-Chiari syndrome MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

MRI may be helpful in the diagnosis of Budd Chiari syndrome (BCS). Findings on MRI suggestive of BCS include the hepatic vein thrombosis, spontaneous intra-hepatic anastomoses, ascites, thrombosis of the inferior vena cava by an enlarged caudate lobe or external compression of the inferior vena cava by an enlarged caudate lobe, prominent azygos and hemiazygos veins, hepatomegaly and enlarged caudate lobe. Homogeneous or heterogenous signal intensity of hepatic parenchyma on T1- and T2-weighted MRI scans.

MRI may be helpful in the diagnosis of Budd Chiari (BCS). Findings on MRI suggestive of BCS include the following:^[1]

• Hepatic vein thrombosis
• Spontaneous intrahepatic anastomoses
• Ascites
• Thrombosis of the inferior vena cava by an enlarged caudate lobe or external compression of the inferior vena cava by an enlarged caudate lobe
• Prominent azygos and hemiazygos veins
• Hepatomegaly and enlarged caudate lobe
• Heterogenous or homogeneous signal intensity of hepatic parenchyma on T1- and T2-weighted MRI scans.

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