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Fig. 3C. —65-year-old multiparous woman with reflux in left ovarian vein. She has vascular variation of right ovarian vein draining into right renal vein. Transverse CT images obtained during renal corticomedullary phase of contrast enhancement show reflux in left ovarian vein (arrowhead, B and C) and parauterine varices. Left ovarian vein and parauterine veins (B and D) are dilated to 10.5 and 11.0 mm, respectively. Ratio of left renal vein (A) diameters (lateral–aortomesenteric portions) is 3.7. Note density of right ovarian vein (arrow, B and C) at different levels. Reflux does not occur in right ovarian vein.