Thoracic Inlet Syndrome

Clinical details

Sudden onset of swelling of the right arm in a young athlete.

Summary of findings

Thoracic inlet syndrome with arm swelling due to venous thrombosis of the subclavian vein up to the Scalene triangle, both arterial and venous vessels of the axilla could be clarified with a single injection of Gadofosveset.

Diagnosis

Thoracic inlet syndrome. The arterial vessels are normal. Unremarkable arterial vascularization.

Description of images

[1 – 3] The individual images.

[1, 2] of the arterial phase with Gadofosveset and the MIP [3] show unremarkable arterial vessels.

[4 – 5] Imaging of the collateral venous vessels (arrows).

[6] The individual high-resolution images of the steady-state phase show the thrombus (arrows) in the subclavian vein up to the scalene triangle.

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