0:00

So here are some early changes which we can sometimes see in this erotic patient.

0:05

We do see some little bit of variability in the hepatic venous waveform here, and

0:10

we see a few areas that are above and below the baseline, but we don't see a huge

0:14

degree of variability, which we will sometimes see in normal respiratory changes

0:19

here. That is less apparent in some other portions of this, including the middle

0:24

hepatic vein. We can see it clearly goes above and below the baseline.

0:28

And in the right, we also have some areas that go clearly above and below the

0:31

baseline. So these would be very early changes.

0:34

Some would potentially grade this left-sided as early monophasic, but

0:40

this is showing how some of those changes start to progress.