I am diagnosed with Advanced Liver Cirrhosis (Liver Biopsy) and Budd chiari syndrome (MRCP).
1) what are the tests, which will conclude the reason of Budd chiari syndrome.
2) According to MRCP report there are few veno-venous shunt noted large one measuring 3 x 2cm between L interior branch of portal and draning via a dilated tributary in to the intra hepatic portal of IVC in segment iv b of left lobe and another measurement 3.5 x 3 cm between the crimal terminal branch of portal vien in segment viii of R lobe of liver draining in to the R Suprarenal vein
Hepatic veins are not visualised.
No significant abdominal lymphadenopethy.
Spleenomegaly long axis 14cm.
3) what should be the next line of treatment.