This 43-years old lady presented with acute abdominal pain. A CT scan was performed, which showed wedge-shaped hypodense areas in the periphery of the right lobe of the liver (Fig. 1). She also had hypodensities in the spleen (arrowhead) and in the kidney (arrow in Fig. 2). The celiac axis (arrowhead in Fig. 2) showed marked narrowing with soft tissue within.
This patient has a shower of emboli, with liver, spleen and bilateral renal infarction and she succumbed within 24 hours. Peripheral, wedge-shaped hypodensities are typically seen with liver infarction and may be due to hepatic arterial or more commonly portal venous disease.
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