EURORAD ESR

Case 2871

Cause of leg swelling ?

Author(s)
Birchall JD
 
Patient
male, 71 year(s)
 
 
  • Figure 1
    left lower limb venogram
     

    Fluoroscopic spot radiograph from left lower limb venogram series demostrates extrinsic compression of the left common iliac vein, a lytic metastasis within the left pubic bone,and a colostomy bag.

     
    Area of Interest: unknown; Imaging Technique: left lower limb venogram;

    Left common iliac vein (a), lytic metastasis within the left pubic bone (b),and colostomy bag(c).

     
    Area of Interest: unknown; Imaging Technique: left lower limb venogram;
     
     
  • Figure 2
    AP pelvic radiograph following venogram
     

    Deviation of the bladder to right of midline with an obstructed left ureter and the colostomy bag is easier to appreciate on this examination.

     
    Area of Interest: unknown; Imaging Technique: AP pelvic radiograph following venogram;

    Deviation of the bladder to right of midline (a) and obstructed left ureter (b) and the colostomy bag is easier to appreciate on this examination (c).

     
    Area of Interest: unknown; Imaging Technique: AP pelvic radiograph following venogram;
     
     
  • Figure 3
    Pelvic CT following oral and intravenous contrast
     

    Pelvic CT on soft tissue windows at the level of the actebulum revealed left pelvic wall recurrence and metastasis within the left actebulum. Further recurrence is demonstrated presacrally.

     
    Area of Interest: unknown; Imaging Technique: Pelvic CT following oral and intravenous contrast;

    Pelvic CT on bone windows at the level of the actebulum revealed left pelvic wall recurrence and metastasis within the left pubic bone. The bladder base is deviated to the right. Marked artefact from the total hip...

     
    Area of Interest: unknown; Imaging Technique: Pelvic CT following oral and intravenous contrast;
     
     
Fluoroscopic spot radiograph from left lower limb venogram series demostrates extrinsic compression of the left common iliac vein, a lytic metastasis within the left pubic bone,and a colostomy bag.
 
Left common iliac vein (a), lytic metastasis within the left pubic bone (b),and colostomy bag(c).
 
Deviation of the bladder to right of midline with an obstructed left ureter and the colostomy bag is easier to appreciate on this examination.
 
Deviation of the bladder to right of midline (a) and obstructed left ureter (b) and the colostomy bag is easier to appreciate on this examination (c).
 
Pelvic CT on soft tissue windows at the level of the actebulum revealed left pelvic wall recurrence and metastasis within the left actebulum. Further recurrence is demonstrated presacrally.
 
Pelvic CT on bone windows at the level of the actebulum revealed left pelvic wall recurrence and metastasis within the left pubic bone. The bladder base is deviated to the right. Marked artefact from the total hip replacements is noted.
 
 
 
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