Toddler with cavernous transformation of the portal vein Pediatric Imaging Gastrointestinal August 12, 2025April 17, 2025 AP (left) and lateral (right) images of the esophagus from an upper GI exam show multiple longitudinal luminal filling defects in the distal esophagus representing esophageal varices. The diagnosis was esophageal varies due to portal hypertension. Related Published August 12, 2025April 17, 2025