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Case of the Week 540



What is the most likely diagnosis?

  • 71 year-old with lower extremity swelling



Frontal Radiographs of Both Legs

  1. Lupus Erythematosis
  2. Heterotopic ossification
  3. Chronic Venous Insufficiency
  4. Hypertrophic Osteoarthropathy
  5. Cysticercosis

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Answer:

 

3. Chronic Venous Insufficiency

 

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Chronic Venous Insufficiency

General Considerations

  • Most often occurs in veins of the legs
  • Retrograde flow of blood in veins
  • Most often due to incompetence of the valves in the lower pressure, superficial venous system
    • May also be due to incompetence of the venous valves in the higher pressure, deep venous system or, rarely, in both
  • It may also result from congenital absence of the valves

 

MORE . . .

 


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