Answer of November 2001

Clinical History:

F/ 49. c/o Pain and mild swelling of both calves

Figure 1A SE Axial T-1 weighed both calves with fat-subtraction

Figure 1B FSE Axial T-2 weighed both calves

Figure 2 Post-contrast T-1 weighed axial both calves

Figure 3 Post-contrast T-1 weighed coronal both calves

Figure 4 FSE T-2 weighed axial of pelvis

What is your diagnosis?

                                  Figure 1                                                                      Figure 2

                                  Figure 3                                                                      Figure 4

Diagnosis:

Thrombophlebitis Migrans secondary to CA ovary.

Discussion:

Figure 1 & 2 Axial post-contrast scan of calf showing abnormal filling defects in the deep veins of both lower limbs.

Figure 3 Coronal post-contrast axial scan of calf showing thrombus in deep veins of both lower limbs.

Figure 4 axial scan of pelvis showing abnormal soft tissue mass behind uterus. During operation the mass is confirmed to be carcinoma of ovary.