A 50-year-old woman with CHF. Axial contrast-enhanced CT images show (a) paraesophageal varicose veins (arrow) and (b) liver contour irregularity, atrophy of the right lobe (R), hypertrophy of the left (L) and caudate (C) lobes, mild periportal thickening (arrow), and splenomegaly, all of which are secondary to PH