Features of cirrhosis and portal hypertension including splenomegaly. Collection of hyperdense material representing glue that has been injected into gastric varices close to the gastro-oesophageal junction. Serpentine structure filled with glue consistent with a vein passing from the stomach wall posteromedially towards the left adrenal. The left adrenal is obscured by soft tissue swelling/inflammation. No obvious haemorrhage. Note no glue within portal venous branches of the liver.
Multiple hyperdense filling defects (of similar density to the injected gastric material) in pulmonary artery branches bilaterally indicative of glue emboli. No pulmonary infarction.