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Prevalence and Significance of Asymptomatic Venous Thromboembolic Disease Found on Oncologic Staging CT

Carmel G. Cronin1, Derek G. Lohan1, Maccon Keane2, Clare Roche1 and Joseph M. Murphy1

1 Department of Radiology, University College Hospital, Newcastle Rd., Galway, Ireland.
2 Department of Oncology, University College Hospital, Galway, Ireland.


Figure 1
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  		Fig. 1A —40-year-old woman (patient 12 in Table 2) with metastatic cervical carcinoma and left iliofemoral deep vein thrombosis (DVT). CT images show that DVT (white arrows) extends into inferior vena cava in B. Local left iliac and left paraaortic lymph nodes (black arrow, B) are also identified. Other secondary signs of acute DVT on A include venous dilatation compared with normal contralateral side, perivenous soft-tissue infiltration suggestive of edema, contrast material accumulation delineating intraluminal clot, and opacification of collateral veins.

 

Figure 2
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  		Fig. 1B —40-year-old woman (patient 12 in Table 2) with metastatic cervical carcinoma and left iliofemoral deep vein thrombosis (DVT). CT images show that DVT (white arrows) extends into inferior vena cava in B. Local left iliac and left paraaortic lymph nodes (black arrow, B) are also identified. Other secondary signs of acute DVT on A include venous dilatation compared with normal contralateral side, perivenous soft-tissue infiltration suggestive of edema, contrast material accumulation delineating intraluminal clot, and opacification of collateral veins.

 

Figure 3
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  		Fig. 2A —52-year-old man (patient 18 in Table 2) with advanced stage carcinoid. CT image shows right iliofemoral deep vein thrombosis (arrow).

 

Figure 4
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  		Fig. 2B —52-year-old man (patient 18 in Table 2) with advanced stage carcinoid. CT images show venous thrombosis (arrows) in right iliac vein that extends just distal to confluence of iliac vessels.

 

Figure 5
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  		Fig. 2C —52-year-old man (patient 18 in Table 2) with advanced stage carcinoid. CT images show venous thrombosis (arrows) in right iliac vein that extends just distal to confluence of iliac vessels.

 

Figure 6
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  		Fig. 2D —52-year-old man (patient 18 in Table 2) with advanced stage carcinoid. CT images show left lower lobar and segmental pulmonary embolus (arrows).

 

Figure 7
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  		Fig. 2E —52-year-old man (patient 18 in Table 2) with advanced stage carcinoid. CT images show left lower lobar and segmental pulmonary embolus (arrows).

 

Figure 8
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  		Fig. 3A —57-year-old woman (patient 17 in Table 2) with metastatic esophageal carcinoma. CT image shows right iliofemoral deep vein thrombosis (arrow).

 

Figure 9
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  		Fig. 3B —57-year-old woman (patient 17 in Table 2) with metastatic esophageal carcinoma. CT images show lobar and segmental pulmonary emboli (arrows). D and E also show peripheral wedge-shaped infarcts.

 

Figure 10
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  		Fig. 3C —57-year-old woman (patient 17 in Table 2) with metastatic esophageal carcinoma. CT images show lobar and segmental pulmonary emboli (arrows). D and E also show peripheral wedge-shaped infarcts.

 

Figure 11
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  		Fig. 3D —57-year-old woman (patient 17 in Table 2) with metastatic esophageal carcinoma. CT images show lobar and segmental pulmonary emboli (arrows). D and E also show peripheral wedge-shaped infarcts.

 

Figure 12
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  		Fig. 3E —57-year-old woman (patient 17 in Table 2) with metastatic esophageal carcinoma. CT images show lobar and segmental pulmonary emboli (arrows). D and E also show peripheral wedge-shaped infarcts.

 

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