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Click 73 year old male with a DVT. Left lower extremity duplex ultrasound imaging. Partial compression of the left common femoral vein, superficial femoral vein, popliteal vein and greater saphenous vein, as above, consistent with deep venous thrombosis and superficial venous thrombosis. Anticoagulation was initiated as a result of these findings.

Click 73 year old male with DVT. Axial images of a CT of the abdomen without IV (oral only) contrast. 1. Extensive thrombus in the inferior vena cava beginning at the level of the renal veins and extending into the left common iliac, right internal iliac, left internal and external iliacs and left common femoral and greater saphenous veins. There is infiltration about the venous structures within the left pelvis and there is marked left lower extremity edema. Portions of the thrombus in the inferior vena cava and left common iliac vein appear calcified. The findings are suspicious for acute on chronic thrombus. 2. Left renal vein calcification suspicious for chronic thrombus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with DVT. Axial images of a CT of the abdomen and pelvis with contrast. 1. Extensive thrombus in the inferior vena cava beginning at the level of the renal veins and extending into the left common iliac, right internal iliac, left internal and external iliacs and left common femoral and greater saphenous veins. There is infiltration about the venous structures within the left pelvis and there is marked left lower extremity edema. Portions of the thrombus in the inferior vena cava and left common iliac vein appear calcified. The findings are suspicious for acute on chronic thrombus. 2. Left renal vein calcification suspicious for chronic thrombus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with DVT. Coronal images of a CT of the abdomen and pelvis with contrast. 1. Extensive thrombus in the inferior vena cava beginning at the level of the renal veins and extending into the left common iliac, right internal iliac, left internal and external iliacs and left common femoral and greater saphenous veins. There is infiltration about the venous structures within the left pelvis and there is marked left lower extremity edema. Portions of the thrombus in the inferior vena cava and left common iliac vein appear calcified. The findings are suspicious for acute on chronic thrombus. 2. Left renal vein calcification suspicious for chronic thrombus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with DVT. Sagittal images of a CT of the abdomen and pelvis with contrast. 1. Extensive thrombus in the inferior vena cava beginning at the level of the renal veins and extending into the left common iliac, right internal iliac, left internal and external iliacs and left common femoral and greater saphenous veins. There is infiltration about the venous structures within the left pelvis and there is marked left lower extremity edema. Portions of the thrombus in the inferior vena cava and left common iliac vein appear calcified. The findings are suspicious for acute on chronic thrombus. 2. Left renal vein calcification suspicious for chronic thrombus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with a pulmonary embolism. CT pulmonary arteriogram (with contrast) in the axial plane. There are filling defects located in the pulmonary arteries of the right, middle and lower lobes as well as in the lingula, which are consistent with pulmonary emboli. There is also a calcified filling defect with in the lower lobe branch of the left main pulmonary artery, which is suggestive of old pulmonary embolus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with a pulmonary embolism. CT pulmonary arteriogram (with contrast) in the coronal plane. There are filling defects located in the pulmonary arteries of the right, middle and lower lobes as well as in the lingula, which are consistent with pulmonary emboli. There is also a calcified filling defect with in the lower lobe branch of the left main pulmonary artery, which is suggestive of old pulmonary embolus. Protocol: 192 mA/195 mA respectively, 120 kVp, 5.0 mm thickness, 125cc of Isovue 370.

Click 73 year old male with an intramural esophageal hematoma. Noncontrast CT of the chest in the axial plane. 1. Significant mural thickening of the esophagus, which demonstrates high attenuation mass in the proximal esophagus consistent with an esophageal hematoma. Axial non-contrast CT of the chest demonstrates significant mural thickening of the esophageal wall as well as a high attenuation mass in the distal esophagus. 2. Interval appearance of bilateral pleural effusions with adjacent atelectasis. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with an intramural esophageal hematoma. Noncontrast CT of the chest in the coronal plane. 1. Significant mural thickening of the esophagus, which demonstrates high attenuation mass in the proximal esophagus consistent with an esophageal hematoma. Para-sagittal non-contrast CT of the chest demonstrates the extension of the high attenuation mass along the mid to distal esophagus. 2. Interval appearance of bilateral pleural effusions with adjacent atelectasis. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with an intramural esophageal hematoma. Noncontrast CT of the chest in the coronal plane. 1. Significant mural thickening of the esophagus, which demonstrates high attenuation mass in the proximal esophagus consistent with an esophageal hematoma. Para-sagittal non-contrast CT of the chest demonstrates the extension of the high attenuation mass along the mid to distal esophagus. 2. Interval appearance of bilateral pleural effusions with adjacent atelectasis. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with a resolving intramural esophageal hematoma. Noncontrast CT of the chest in the axial plane. 1. Mild interval decrease in extent of intramural hematoma in the mid to distal esophagus. There is persistent luminal narrowing due to the hematoma, and the esophagus proximal to the stoma remains dilated. Air fluid levels within the esophageal lumen suggest an intramural location of the hematoma. 2. Mild interval decrease in size of moderate bilateral pleural effusions. 3. Stable moderate compressive atelectasis of lower lobes. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with a resolving intramural esophageal hematoma. Noncontrast CT of the chest in the coronal plane. 1. Mild interval decrease in extent of intramural hematoma in the mid to distal esophagus. There is persistent luminal narrowing due to the hematoma, and the esophagus proximal to the stoma remains dilated. Air fluid levels within the esophageal lumen suggest an intramural location of the hematoma. 2. Mild interval decrease in size of moderate bilateral pleural effusions. 3. Stable moderate compressive atelectasis of lower lobes. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with a resolving intramural esophageal hematoma. Noncontrast CT of the chest in the sagittal plane. 1. Mild interval decrease in extent of intramural hematoma in the mid to distal esophagus. There is persistent luminal narrowing due to the hematoma, and the esophagus proximal to the stoma remains dilated. Air fluid levels within the esophageal lumen suggest an intramural location of the hematoma. 2. Mild interval decrease in size of moderate bilateral pleural effusions. 3. Stable moderate compressive atelectasis of lower lobes. Protocol: 436 mA, 120 kVp, 5.0 mm thickness.

Click 73 year old male with a recurrent pulmonary emboli. CT pulmonary arteriogram (with contrast) in the axial plane. The patient's anticoagulation therapy was suspended following the esophageal hematoma. The patient underwent interval upper endoscopy with partial removal of clot. 1. New pulmonary embolism involving right pulmonary artery extending into the ipsilateral arteries supplying the upper, middle and lower lobes. 2. Stable in size moderate bilateral pleural effusions. 3. Dilatation of the esophagus with interval decrease of internal debris following upper endoscopy with partial removal of clot. Protocol: 348 mA/573 mA respectively, 120 kVp, 5.0 mm thickness, 120cc of Isovue 370.

Click 73 year old male with a recurrent pulmonary emboli. CT pulmonary arteriogram (with contrast) in the coronal plane. The patient's anticoagulation therapy was suspended following the esophageal hematoma. The patient underwent interval upper endoscopy with partial removal of clot. 1. New pulmonary embolism involving right pulmonary artery extending into the ipsilateral arteries supplying the upper, middle and lower lobes. 2. Stable in size moderate bilateral pleural effusions. 3. Dilatation of the esophagus with interval decrease of internal debris following upper endoscopy with partial removal of clot. Protocol: 348 mA/573 mA respectively, 120 kVp, 5.0 mm thickness, 120cc of Isovue 370.