EURORAD ESR

Case 8016

Indirect MR venography and contrast-enhanced 3D MRI in a case of effort-induced axillary-subclavian venous thrombosis

Author(s)
Schubert R.
Radiologie am Europa-Center, Berlin, Germany.
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    Contrast-enhanced 3D MR venography (MIP)

    Venous phase MIP. The right axillary and subclavian veins are completely occluded. Numerous collaterals are seen at he shoulder girdle. The jugular, innominate and superior cava veins enhance normally. However, part...

     
     
     
  • Figure 2
    T1-weighted 3D ultrafast breath-hold gradient echo with Gd
     

    Curved reconstruction along a trace showing a signal void in the right axillary vein caused by a clot.

     

    The arrow-shaped head of the thrombus is located between the clavicle and the anterior scalenus muscle.

     
     
     
  • Figure 3
    T1 3D GRE with Gd: Transverse image stack

    The video shows the extent of the thrombus as well as the absence of thrombotic material in the right innominate vein and superior vena cava (DivX5-encoded avi).

     
     
     
Venous phase MIP. The right axillary and subclavian veins are completely occluded. Numerous collaterals are seen at he shoulder girdle. The jugular, innominate and superior cava veins enhance normally. However, part of the superior cava is obscured by artifacts.
 
Curved reconstruction along a trace showing a signal void in the right axillary vein caused by a clot.
 
The arrow-shaped head of the thrombus is located between the clavicle and the anterior scalenus muscle.
 
The video shows the extent of the thrombus as well as the absence of thrombotic material in the right innominate vein and superior vena cava (DivX5-encoded avi).
 
 
 
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