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At our institution, routine abdominopelvic CT scanning in the portal venous phase is performed following administration of positive oral and intravenous contrast.
The portal venous phase of superior mesenteric vein (SMV) angiography demonstrated hepatopetal flow into the liver, no arteriovenous communication, and a large umbilical vein decompressing the portal system.
This arterial neovascularization underlies the early arterial phase enhancement and portal venous phase washout pattern characteristic of HCC.