Budd-Chiari syndrome: imaging review

Br J Radiol. 2018 Dec;91(1092):20180441. doi: 10.1259/bjr.20180441. Epub 2018 Jul 24.


Budd-Chiari syndrome (BCS), also known as hepatic venous outflow tract obstruction includes a group of conditions characterized by obstruction to the outflow of blood from the liver secondary to involvement of one or more hepatic veins (HVs), inferior vena cava (IVC) or the right atrium. There are a number of conditions that lead to BCS-ranging from hypercoagulable states to malignancies. In up to 25% patients, no underlying disorder is identified. Diagnosis of BCS is based on a combination of clinical and imaging features. A major part of the literature in BCS has been devoted to interventions; however, a detailed description of various imaging manifestations of BCS is lacking. In this review, we highlight the importance of various imaging modalities in the diagnosis of BCS.

Publication types

  • Review

MeSH terms

  • Budd-Chiari Syndrome / classification
  • Budd-Chiari Syndrome / diagnostic imaging*
  • Hepatic Veins / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging
  • Phlebography
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Ultrasonography