Case of September 2020

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Clinical History:

A 52 year-old woman presented with progressive swelling of the left lower limb for a few weeks. There was no history of injury to the left lower limb. No skin wound nor overlying skin change is noted. She had not taken any over-the-counter medicines recently. She was stable and afebrile at the time of examination.

An urgent Doppler Ultrasound study of the left lower limb was arranged and found extensive left deep vein thrombosis. She was started on subcutaneous low-molecular weight heparin (Enoxaparin) therapy. 
A subsequent whole body PET-CT study with IV contrast was done with excerpts of the post-contrast CT images as shown below.