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Passive Hepatic Congestion
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Congested liver in cardiac disease
            • Definitions

              • Stasis of blood within liver parenchyma as result of impaired hepatic venous drainage

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Heller MT et al: Imaging of acute conditions affecting the hepatic vasculature. Emerg Radiol. 19(4):329-39, 2012
                                          2. Saliba T et al: Hepatocellular carcinoma in two patients with cardiac cirrhosis. Eur J Gastroenterol Hepatol. 22(7):889-91, 2010
                                          3. Ariyarajah V et al: The utility of cardiovascular magnetic resonance in constrictive pericardial disease. Cardiol Rev. 17(2):77-82, 2009
                                          4. Torabi M et al: CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics. 28(7):1967-82, 2008
                                          5. Tani I et al: MR imaging of diffuse liver disease. AJR Am J Roentgenol. 174(4):965-71, 2000
                                          6. Gore RM et al: Passive hepatic congestion: cross-sectional imaging features. AJR Am J Roentgenol. 162(1):71-5, 1994
                                          7. Abu-Yousef MM et al: Pulsatile portal vein flow: a sign of tricuspid regurgitation on duplex Doppler sonography. AJR Am J Roentgenol. 155(4):785-8, 1990
                                          8. Holley HC et al: Inhomogeneous enhancement of liver parenchyma secondary to passive congestion: contrast-enhanced CT. Radiology. 170(3 Pt 1):795-800, 1989
                                          9. Moulton JS et al: Passive hepatic congestion in heart failure: CT abnormalities. AJR Am J Roentgenol. 151(5):939-42, 1988
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Congested liver in cardiac disease
                                                    • Definitions

                                                      • Stasis of blood within liver parenchyma as result of impaired hepatic venous drainage

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Heller MT et al: Imaging of acute conditions affecting the hepatic vasculature. Emerg Radiol. 19(4):329-39, 2012
                                                                                  2. Saliba T et al: Hepatocellular carcinoma in two patients with cardiac cirrhosis. Eur J Gastroenterol Hepatol. 22(7):889-91, 2010
                                                                                  3. Ariyarajah V et al: The utility of cardiovascular magnetic resonance in constrictive pericardial disease. Cardiol Rev. 17(2):77-82, 2009
                                                                                  4. Torabi M et al: CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics. 28(7):1967-82, 2008
                                                                                  5. Tani I et al: MR imaging of diffuse liver disease. AJR Am J Roentgenol. 174(4):965-71, 2000
                                                                                  6. Gore RM et al: Passive hepatic congestion: cross-sectional imaging features. AJR Am J Roentgenol. 162(1):71-5, 1994
                                                                                  7. Abu-Yousef MM et al: Pulsatile portal vein flow: a sign of tricuspid regurgitation on duplex Doppler sonography. AJR Am J Roentgenol. 155(4):785-8, 1990
                                                                                  8. Holley HC et al: Inhomogeneous enhancement of liver parenchyma secondary to passive congestion: contrast-enhanced CT. Radiology. 170(3 Pt 1):795-800, 1989
                                                                                  9. Moulton JS et al: Passive hepatic congestion in heart failure: CT abnormalities. AJR Am J Roentgenol. 151(5):939-42, 1988