Ct shows opacification of hepatic vein, says sign of right heart strain or failure? what does this mean?

I don't consider opacification of the hepatic vein as a finding in right heart congestive heart failure without other characteristic signs and symptoms such as peripheral edema, distended neck veins,shortness of breath. Opacified hepatic veins are more apt to be found with masses,such as in the pancreas, pressing on the portal venous system. I think your physician to get more info from the radiolo