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AJR Teaching File: Weight Lifter with Swelling in the Upper Arm

Deepa Sheth1, Hector Ferral and Nilesh H. Patel2,3

1 College of Medicine, University of Illinois at Chicago, 1740 W. Taylor St., Chicago, IL 60612.
2 Department of Radiology, Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, IL.
3 Vascular and Interventional Program, Central DuPage Hospital, Winfield, IL.


Figure 1
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  		Fig. 1A —35-year-old male weight lifter presents with swelling in the left arm. Left upper extremity venogram shows extensive filling defects in subclavian, axillary, and basilic veins.

 

Figure 2
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  		Fig. 1B —35-year-old male weight lifter presents with swelling in the left arm. Left upper extremity venogram depicts catheter-directed thrombolytic therapy.

 

Figure 3
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  		Fig. 1C —35-year-old male weight lifter presents with swelling in the left arm. After 14 hours of recombinant tissue plasminogen activator administration, venogram shows lysis of thrombus with narrowing in medial aspect of left subclavian vein.

 

Figure 4
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  		Fig. 1D —35-year-old male weight lifter presents with swelling in the left arm. Follow-up venogram shows no residual thrombus.

 

Figure 5
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  		Fig. 2A —Anatomic schematics. Drawings courtesy of Laura Marie Allen. Anatomic schematic depicts arm in adducted (neutral) position.

 

Figure 6
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  		Fig. 2B —Anatomic schematics. Drawings courtesy of Laura Marie Allen. Anatomic schematic depicts arm in abducted position, which causes compression of subclavian vein.

 

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