EURORAD ESR

Case 12563

A rare cause of chronic flank pain – posterior nutcracker syndrome

Author(s)
Parveen Sulthana M, Saravana Kumar S, Malathi V, Sekhar K.S

Billroth Hospitals,
Department of Radiology,
Lakshmi talkies road,
Shenoy nagar,
Chennai-600 030, India.
Email:drspjkmc@gmail.com
 
Patient
female, 54 year(s)
 
 
  • Figure 1
    Cine axial contrast-enhanced CT images

    Cine axial CECT images showing the left renal vein joining the azygous vein at the level of L1.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 2
    Coronal reformatted CT images
     

    Coronal oblique reformatted CT image showing the left renal vein joining the azygous vein. Dilated left gonadal and parametrial veins joining the left renal vein are also seen.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;

    Coronal oblique reformatted CT image showing the left renal vein joining the azygous vein. Dilated left gonadal and parametrial veins joining the left renal vein are also seen.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 3
    Coronal oblique reformatted CT image

    Coronal oblique reformatted CT image showing the dilated left gonadal and parametrial veins joining the left renal vein.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 4
    Sagittal oblique reformatted CT image

    Sagittal oblique reformatted CT image showing the prominent veins in the left inguinal canal.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 5
    Axial CECT image

    Axial contrast enhanced CT image at the level where the left renal vein and azygous vein join.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
Cine axial CECT images showing the left renal vein joining the azygous vein at the level of L1.
 
Coronal oblique reformatted CT image showing the left renal vein joining the azygous vein. Dilated left gonadal and parametrial veins joining the left renal vein are also seen.
 
Coronal oblique reformatted CT image showing the left renal vein joining the azygous vein. Dilated left gonadal and parametrial veins joining the left renal vein are also seen.
 
Coronal oblique reformatted CT image showing the dilated left gonadal and parametrial veins joining the left renal vein.
 
Sagittal oblique reformatted CT image showing the prominent veins in the left inguinal canal.
 
Axial contrast enhanced CT image at the level where the left renal vein and azygous vein join.
 
 
 
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