Figure 10b. HELLP syndrome in a 24-year-old woman who recently gave birth. (a) Axial T1-weighted gradient-echo image obtained through the liver shows a large subcapsular fluid collection containing blood products (arrow), a finding consistent with a hematoma. (b) Coronal gadolinium-enhanced T1-weighted gradient-echo image shows the hematoma (arrow) as well as poorly perfused areas of developing hepatic necrosis (arrowhead). Splenic and intrathoracic hemorrhage also developed, but the patient eventually recovered.