CTICasesMassive Atherosclerotic Splenic and Portal Varices
Imaging findings
CT abdomen and chest shows massive, calcified, tortuous venous structures in the left upper quadrant and mediastinum, representing massive splenic and portal varices demonstrating heavy mural calcification, in a patient with portal hypertension.
Key takeaways
Long-standing portal hypertension can cause massive splenorenal and gastroesophageal varices. Over time, these dilated veins can develop heavy mural calcification and atherosclerotic-like changes due to chronic venous shear stress, presenting as calcified mass-like structures in the mediastinum and abdomen on radiographs.
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