Portal biliopathy

Figure 3 Ultrasound with Doppler in a patient with extrahepatic portal venous obstruction and portal biliopathy. A: Gray scale image shows an echogenic mass in hilum (portal cavernoma). Common hepatic duct (CHD) shows dilatation and luminal irregularity with a stricture at the level of the cavernoma; B: Color Doppler image showed multiple pericholedochal collaterals around the strictured bile duct (arrow); C: Color Doppler image shows pericholedochal collaterals and recanalized irregular portal vein; D: Power Doppler images of gall bladder. Gall bladder wall is thickened with multiple collaterals within the gall bladder wall.