Demographics:
32 years old, Male
Indication:
Left leg swelling
Findings
- Echogenic material filling the lumens of the common and profunda femoral veins, which are noncompressible and demonstrate no substantial internal flow on Doppler analysis
- The distal deep veins in the left lower extremity remain patent, but lack typical respiratory variation in flow
- Echogenic material extends proximally into the left external and common iliac veins, which are incompletely assessed on this study
Diagnosis
- Deep venous thrombosis
- May-Thurner syndrome
Sample Report
Occlusive deep venous thrombosis of the left common and profunda femoral veins extending proximally into the left external and common iliac veins, incompletely assessed on this study. This configuration is suggestive of May-Thurner syndrome and can be further assessed with contrast-enhanced CT of the abdomen and pelvis.
Discussion