Volume 154, Issue 3, Pages e73-e76 (September 2018)

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Volume 154, Issue 3, Pages e73-e76 (September 2018) A 47-Year-Old Man With Progressive Mental Deterioration During Ventilator Management of Asthma in the ICU Izumi Nakayama, MD, Junichi Izawa, MD, DrPH, Shin Yamashiro, MD, Tomoo Kishaba, MD, FCCP CHEST Volume 154, Issue 3, Pages e73-e76 (September 2018) DOI: 10.1016/j.chest.2018.04.001 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 A-D, Axial images from abdominal CT scan. A, The main portal vein passed cranially through the liver without major branches. The inferior vena cava was located dorsal to the portal vein. B, C, The portal vein terminated at the umbilical portion and connected to a large abnormal vessel (*) coursing dorsally and cranially within the liver. D, A large abnormal vessel (*) drained into the inferior vena cava. IVC = inferior vena cava; PV = portal vein. CHEST 2018 154, e73-e76DOI: (10.1016/j.chest.2018.04.001) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 A, B, Volume-rendered (A) and sagittal (B) images from abdominal CT scan showed the course of the portal vein and patent ductus venosus (*) draining into the inferior vena cava. Major intrahepatic portal branches were absent. HV = hepatic vein. See Figure 1 legend for expansion of other abbreviations. CHEST 2018 154, e73-e76DOI: (10.1016/j.chest.2018.04.001) Copyright © 2018 American College of Chest Physicians Terms and Conditions