Downhill esophageal varices

Case contributed by Jayanth Keshavamurthy , 8 Oct 2019
Diagnosis certain
Changed by Henry Knipe, 8 Oct 2019

Updates to Study Attributes

Modality was set to Annotated image.
Findings was added:

SVC stenosis (blue arrow) is noted. Collaterals noted (red arrows) via collateral branches to the intercostal and inferior phrenic vein.

Images Changes:

Image Annotated image (Coronal) ( update )

Specifics was removed.

Image 1 Annotated image (Coronal) ( update )

Position was set to .

Updates to Study Attributes

Findings was changed:

1. SVC stenosis is noted.

2. Collaterals noted via collateral branches to the intercostal and inferior phrenic vein.

3. These are systemic to systemic collaterals and not systemic to portal collaterals.

Updates to Study Attributes

Modality was set to Annotated image.
Findings was added:

SVC stenosis close to RA junction (blue arrow). 

Images Changes:

Image 1 Annotated image (Frontal) ( update )

Position was set to .

Updates to Case Attributes

Body was changed:

PatientThe patient previously had a right sided port o catheter-sided Port-A-Cath. The catheter had been removed for a clot or stenosis seen on CT neck a few months prior in a different hospital.

This history is important as a radiologist sees the collaterals very often and would not call it a varix unless that history is provided in detail.

Downhill esophageal varix secondary to SVC stenosis after long standing-standing catheter placement like port o catha Port-A-Cath or dialysis catheter is under reportedunderreported by radiologists,

  • -<p>Patient previously had a right sided port o catheter. The catheter had been removed for a clot or stenosis seen on CT neck a few months prior in a different hospital.</p><p>This history is important as a radiologist sees the collaterals very often and would not call it a varix unless that history is provided in detail.</p><p>Downhill esophageal varix secondary to SVC stenosis after long standing catheter placement like port o cath or dialysis catheter is under reported by radiologists,</p><p> </p>
  • +<p>The patient previously had a right-sided <a title="Port-a-Cath" href="/articles/implantable-port">Port-A-Cath</a>. The catheter had been removed for a clot or stenosis seen on CT neck a few months prior in a different hospital. This history is important as a radiologist sees the collaterals very often and would not call it a varix unless that history is provided in detail.</p><p>Downhill esophageal varix secondary to <a title="Superior vena cava obstruction" href="/articles/superior-vena-cava-obstruction">SVC stenosis</a> after long-standing catheter placement like a Port-A-Cath or dialysis catheter is underreported by radiologists,</p>

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