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Thrombosed double inferior vena cava mimicking paraaortic lymphadenopathy

J C Evans, MRCP, FRCR1, J Earis, MD, FRCP2 and J Curtis, MRCP, FRCR1

1 Departments of Radiology
2 Medicine, University Hospital Aintree, Lower Lane, Fazakerley, Liverpool, Merseyside, UK



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Figure 1. Axial CT showing a paraaortic soft tissue mass (arrow) simulating lymphadenopathy.

 


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Figure 2. (a) Axial CT 11 weeks later shows a well defined tubular mass with a thrombus-filled lumen to the left of the aorta (arrow). Note the prominent abdominal wall veins (arrowheads). (b) At a lower level, this structure was in continuity with the common iliac veins, which were also filled with thrombus (arrows).

 





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