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Thoracic outlet syndrome

Case contributed by: Brendan Cullinane

Presentation:

Vague neuropathic symptoms in the left arm. History of a motor vehicle accident.

Patient Data:

Age: 55

Gender: Female

Race: Indian/Pakistani

From the case: Thoracic outlet syndrome

Modality: Ultrasound

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Left subclavian artery waveform with the arm adducted and at rest.

Compression of the left subclavian artery beneath the clavicle with the patient's arm in extreme abduction suggesting thoracic outlet syndrome with arterial involvement.