Budd-Chiari Syndrome (BCS) is an amalgam of pathologies causing hepatic blood outflow obstruction. Long-standing cases of
BCS could lead to fibrosis and the development of Hepatocellular Carcinoma (HCC) subsequently. BCS encompasses a wide range of
imaging findings ranging from hepatomegaly, ascites, splenomegaly, presence of veno-venous collaterals, thrombus in hepatic vein,
compression of IVC, regenerative nodules, nutmeg appearance of the liver and hepatocellular carcinoma in long-standing cases.
Our patient presented with complaints of abdominal pain, distension and jaundice. She also had hepatocellular carcinoma, which
is a rare co-presentation at such a young age. Triple phase Contrast-enhanced Computerized Tomography (CECT) and Magnetic
Resonance Imaging (MRI) proved to be beneficial in supplementing the final diagnosis of BCS and HCC both.