RADIOLOGY: HEPATOBILIARY: Case# 33097: BUDD CHIARI. 28 year old man with chronic abdominal pain, increasing over the past two weeks. He has nausea and vomiting and new ascites. 1. Diffusely enlarged liver with very heterogeneous enhancement. No visualization of the hepatic veins. Ascites. This is consistent with Budd-Chiari syndrome. 2. Small amount of right lung base atelectasis.