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Prospective Comparison of Indirect CT Venography Versus Venous Sonography in ICU Patients

Matthew J. Taffoni1, James G. Ravenel and Susan J. Ackerman

1 All authors: Department of Radiology, Medical University of South Carolina, 169 Ashley Ave., Rm. 297, PO Box 250322, Charleston, SC 29425.



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Fig. 1A 66-year-old woman with deep venous thrombosis on CT and sonography. Axial CT image reveals filling defect in left superficial femoral vein (arrow).

 


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Fig. 1B 66-year-old woman with deep venous thrombosis on CT and sonography. Color Doppler sonogram reveals absence of flow. LSFV = left superficial femoral vein.

 


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Fig. 2A 49-year-old woman with pulmonary embolus and deep venous thrombosis. Axial CT image through pulmonary arteries reveals filling defect in right lower lobe artery (arrow). Note also peripheral pulmonary infarct (I).

 


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Fig. 2B 49-year-old woman with pulmonary embolus and deep venous thrombosis. Axial CT image through right lower extremity reveals thrombus in right superficial femoral vein (arrow).

 


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Fig. 2C 49-year-old woman with pulmonary embolus and deep venous thrombosis. Color Doppler sonogram, considered false-negative, reveals thrombus in right superficial femoral vein.

 


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Fig. 3A 84-year-old man with deep venous thrombosis. Color Doppler sonogram reveals absent flow in right popliteal vein (R POP V).

 


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Fig. 3B 84-year-old man with deep venous thrombosis. Axial CT image, considered false-negative, at same level as A fails to show evidence of filling defect. Segment was considered technically inadequate because of poor enhancement.

 

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