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T1 Age 24 35 68-year-old T2 Sex 36 42 female T3 History 48 71 no past medical history T4 Sign_symptom 114 122 bleeding E1 Sign_symptom:T4 T5 Biological_structure 91 113 upper gastrointestinal R1 MODIFY Arg1:T5 Arg2:E1 T6 Sign_symptom 127 131 pain E2 Sign_symptom:T6 T7 Biological_structure 135 153 left upper abdomen R2 MODIFY Arg1:T7 Arg2:E2 T8 Sign_symptom 184 196 splenomegaly E3 Sign_symptom:T8 T9 Diagnostic_procedure 155 175 Physical examination E4 Diagnostic_procedure:T9 T10 Disease_disorder 210 244 portosystemic collateral formation E5 Disease_disorder:T10 T11 Sign_symptom 270 283 dilated veins E6 Sign_symptom:T11 T12 Biological_structure 255 269 abdominal wall R3 MODIFY Arg1:T12 Arg2:E6 T13 Sign_symptom 295 307 haemorrhoids E7 Sign_symptom:T13 T14 Biological_structure 288 294 rectal R4 MODIFY Arg1:T14 Arg2:E7 T15 Sign_symptom 312 336 biological abnormalities E8 Sign_symptom:T15 A1 POLARITY E8 NEG T16 Disease_disorder 369 382 hypersplenism E9 Disease_disorder:T16 T17 Sign_symptom 384 391 anaemia E10 Sign_symptom:T17 T18 Sign_symptom 396 412 thrombocytopenia E11 Sign_symptom:T18 T19 Diagnostic_procedure 460 469 endoscopy E12 Diagnostic_procedure:T19 T20 Biological_structure 437 459 upper gastrointestinal R6 MODIFY Arg1:T20 Arg2:E12 T21 Sign_symptom 504 511 varices E13 Sign_symptom:T21 T22 Biological_structure 492 503 oesophageal R7 MODIFY Arg1:T22 Arg2:E13 T23 Detailed_description 482 491 stage III R8 MODIFY Arg1:T23 Arg2:E13 T24 Disease_disorder 517 548 portal hypertensive gastropathy E14 Disease_disorder:T24 T25 Sign_symptom 553 562 red signs E15 Sign_symptom:T25 T26 Diagnostic_procedure 564 579 Ultrasonography E16 Diagnostic_procedure:T26 T27 Sign_symptom 591 610 fusiform dilatation E17 Sign_symptom:T27 T28 Biological_structure 618 636 portal bifurcation R9 MODIFY Arg1:T28 Arg2:E17 T29 Distance 647 652 40 mm R10 MODIFY Arg1:T29 Arg2:E17 T30 Detailed_description 670 686 dilated branches R11 MODIFY Arg1:T30 Arg2:E17 T31 Sign_symptom 691 717 signs of portal thrombosis E18 Sign_symptom:T31 A2 POLARITY E18 NEG T32 Diagnostic_procedure 755 768 Doppler study E19 Diagnostic_procedure:T32 T33 Biological_structure 748 754 portal R12 MODIFY Arg1:T33 Arg2:E19 T34 Lab_value 778 801 normal hepatopetal flow R13 MODIFY Arg1:T34 Arg2:E19 T35 Sign_symptom 803 837 Other signs of portal hypertension E20 Sign_symptom:T35 T36 Sign_symptom 860 872 splenomegaly E21 Sign_symptom:T36 T37 Sign_symptom 874 886 repermeation E22 Sign_symptom:T37 T38 Biological_structure 894 908 umbilical vein R14 MODIFY Arg1:T38 Arg2:E22 T39 Sign_symptom 927 949 collateral circulation E23 Sign_symptom:T39 T40 Diagnostic_procedure 973 975 CT E24 Diagnostic_procedure:T40 T41 Biological_structure 967 972 angio R15 MODIFY Arg1:T41 Arg2:E24 T42 Sign_symptom 1045 1064 thin calcifications E25 Sign_symptom:T42 T43 Biological_structure 1072 1087 aneurysmal wall R16 MODIFY Arg1:T43 Arg2:E25 T44 Biological_structure 1096 1113 main portal trunk R17 MODIFY Arg1:T44 Arg2:E25 T45 Sign_symptom 1146 1180 Other signs of portal hypertension E26 Sign_symptom:T45 T46 Sign_symptom 1224 1231 varices E27 Sign_symptom:T46 T47 Biological_structure 1216 1223 gastric T48 Biological_structure 1200 1211 oesophageal R18 MODIFY Arg1:T47 Arg2:E27 R19 MODIFY Arg1:T48 Arg2:E27 T49 Coreference 1279 1294 ultrasonography E28 Coreference:T49 T50 Sign_symptom 1242 1264 collateral circulation E29 Sign_symptom:T50 T51 Biological_structure 915 926 splenorenal T52 Biological_structure 1233 1241 parietal R20 MODIFY Arg1:T52 Arg2:E29 R21 MODIFY Arg1:T51 Arg2:E23 R22 IDENTICAL Arg1:E28 Arg2:E16 T53 Disease_disorder 1305 1320 Liver cirrhosis E30 Disease_disorder:T53 T54 Diagnostic_procedure 1338 1360 transcient elastometry E31 Diagnostic_procedure:T54 T55 Diagnostic_procedure 1365 1371 biopsy E32 Diagnostic_procedure:T55 T56 Clinical_event 73 82 presented E33 Clinical_event:T56 * OVERLAP E33 E1 E2 R23 BEFORE Arg1:E2 Arg2:E4 * OVERLAP E4 E3 E5 E6 E7 E8 E9 E10 E11 R5 BEFORE Arg1:E11 Arg2:E12 * OVERLAP E12 E13 E14 E15 E16 E17 E18 E19 E20 E21 E22 E23 E24 E25 E26 E27 E29 R24 BEFORE Arg1:E29 Arg2:E30 * OVERLAP E30 E31 E32