GI Radiology > Liver > Others > Passive Hepatic Congestion

Others

Passive Hepatic Congestion

  1. Pathogenesis:
  • Can cause enlarged liver without focal disease.
     
  • Found in patients with CHF, constrictive pericarditis, or restrictive cardiomyopathy.
     
  • Passive hepatic congestion is also known as nutmeg liver due to its radiological appearance.
  1. Radiographic findings:
  • Low attenuation areas in liver caused by chronic increased hepatic venous pressure.
  • Note cardiomegaly with enlargments of the right ventricle and inferior vena cava, as well as the hepatic veins (arrows).
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