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Fig. 10A. Ipsilateral posterior neck pathway in 54-year-old woman with spontaneous thrombosis of axillary vein termed "effort thrombosis." Right upper extremity venogram shows that right axillary vein (Ax, arrowhead) is thrombosed and that contrast material runs forward to posterior neck and reconstitutes right vertebral vein (V, straight arrow) via veins of posterior neck. Right vertebral vein empties into brachiocephalic vein distal to obstruction. Anterior jugular arch (Aj, curved arrow) is also opacified.