Often, the parallelization of the linear post thrombotic skeletal scar tissue is easily picked up sonographically during peripheral vascular studies and any history of previous DVT management normally strengthens/confirms unequivocally this diagnosis (as in this case). The skeletal synaechia however, when syndromic, may interfere with the venous valves' competency thus leading to varicosities and subcutaneous tissue edema.

Again, it is important to assess for features suggestive of new recurrence of deep or superficial venous thrombosis. In this particular presentation, the cause of the left lower limb swelling was syndromic attributed to post thrombotic skeletal scar tissue leading to the superficial varices and leg edema ipsilaterally.