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Doctor insights on: Dorsal Venous Complex

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enhanced posterior clivus likely venous plexus.

 enhanced posterior clivus likely venous plexus.

Probably normal: Limited information here, am assuming this is a MRI finding. Venous plexus in this location is normal. If this is simply an incidental finding, probably no follow up necessary, or possibly an additional study or follow up MRI in a short time if there is some uncertainty. As always, speak with your clinician regarding appropriate course of action. ...Read more

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Is timely diagnosis of cortical venous thrombosis difficult?

Is timely diagnosis of cortical venous thrombosis difficult?

Can be Tricky: Often other conditions are suspected. If cvt is suspected then imaging will rapidly allow diagnosis. ...Read more

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After doppler scan result varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

After doppler scan result  varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

Venous insufficiency: There is not enough information for me to comment. You need to know the size of the vein and the symptoms as well as the duration of reflux to help guide medical versus surgical therapy. ...Read more

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Extraspinal soft tissues demonstrates min prominence of L ovarian vein meas 6-7mm which can b seen in setting of ovarian venous incompetency.Meaning?

Extraspinal soft tissues demonstrates min prominence of L ovarian vein meas 6-7mm which can b seen in setting of ovarian venous incompetency.Meaning?

Possible vein reflux: Most veins have one way valves. When the heart contracts blood through these valves, but when heart is relaxes the valve closes so blood does not move backwards with gravity. The left ovarian vein connects with ovary veins around uterus. If vein is dilated it may reflect incompetence of that valve, with sluggish flow of blood through pelvis. Should talk to Dr. ordering MRI with f/u questions. ...Read more

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C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more

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Result of venous duplex scan for dvt. Evidence of peroneal veins with partially occlusive non acute dvt. Evidence of recanalisation and both paired veins are patent and small due to the DVT present?

Result of venous duplex scan for dvt. Evidence of peroneal veins with partially occlusive non acute dvt. Evidence of  recanalisation and both paired veins are patent and small due to the DVT present?

I guess you: Are asking, what does it mean. You had sometime ago a partial DVT that still allowed blood flow, new vessels help with the flow. Still at risk of further DVT specially if sitting for prolonged periods od time. ...Read more

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I have a focal dilated vein (varicocele ) versus ganglion cyst lying just deep to the lateral aspect of the flexor digitization beef is muscle me?

I have a focal dilated vein (varicocele ) versus ganglion cyst lying just deep to the lateral aspect of the flexor digitization beef is muscle me?

Varicoele: First, women don't get varicoele this is a condition only in a male can get and is varicose veins in the testicles. Unfortunately I don't understand your question. Most likely what you have is a ganglion cyst. ...Read more

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Have gastrocnemius contracture(Silfverskiold test) causing equinus, from deep posterior CS(Stryker test). Fasciotomy or recession of gastroc to treat?

Have gastrocnemius contracture(Silfverskiold test) causing equinus, from deep posterior CS(Stryker test). Fasciotomy or recession of gastroc to treat?

BE CAREFUL: At first glance, the doctor may thing a 'simple' lengthening will help. But, being s/p compartment syndrome, there is scarring; extensive releases in the leg may be needed. See an orthopedist trained in foot/ankle. ...Read more

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Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head with extensive bone marrow edema require a surgery?

Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head with extensive bone marrow edema require a surgery?

Likely, eventually!: It sounds like you probably have some avascular necrosis with subchondral collapse. Unfortunately, the controversial treatments don't usually work once collapse has started. You're likely, eventually, going to need to have a hip replacement. You should see a hip specialist to go over your options at this point. ...Read more

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I've had two possible TIAs-MRI/A say-xanthoma formation w/in choroid plexus bilaterally-fetal origin right posterior cerebral arterycongenitalvarition?

I've had two possible TIAs-MRI/A say-xanthoma formation w/in choroid plexus bilaterally-fetal origin right posterior cerebral arterycongenitalvarition?

Normal variation: Fetal origin posterior cerebral artery is a normal finding you were born with and choroid plexus comments is also normal. I presume the MRI was otherwise normal. Please make sure to see a neurologist for a complete evaluation as TIAs are often warning signs for strokes. ...Read more

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Moderate focal stenosis of L common iliac vein as it courses directly dorsal to R common iliac artery.What's it mean,how's it treated?DVT risk?

Moderate focal stenosis of L common iliac vein as it courses directly dorsal to R common iliac artery.What's it mean,how's it treated?DVT risk?

Need context: Interpretion depends on context for which the study was performed and varies depending on the type of imaging study and associated findings that this report came from. Every test should be interpreted in the context of a thorough history and physical examination with your primary doctor. The most helpful interpretation will come after discussion with the ordering physician. ...Read more

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Anterior disc repl surgeon cut sympathetic nerve resulting in stage3 horners wallenborgs syndromes cut vocal cord nw hv issues breathing reversable?

Anterior disc repl surgeon cut sympathetic nerve resulting in stage3 horners wallenborgs syndromes cut vocal cord nw hv issues breathing reversable?

Prediction difficult: Am unclear how all of this happened to you while having a disc surgery. Would suggest you see a medical neurologist and a rehab doctor and get this all assessed. ...Read more

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Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head require a surgery?

Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head  require a surgery?

Usually: this is a high risk risk stress fracture for progressing to catastrophic fracture. Usually recommended to pin it to prevent prigression ...Read more

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7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?

7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?

Difficult to tell: without actually looking at the scan. Virchow Robin spaces are found normally and accompany blood vessels as they penetrate the brain. They contain cerebrospinal fluid and if they expand they can look quite pathological however it would be difficult to tell for sure without looking at the scan and knowing more. Would be happy to provide a virtual consult if needed. Best of luck! ...Read more

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Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

This is not : The same as a compression fracture. A compression fracture can result in anterior wedging, but not all anterior wedging is compression fracture. If there are up to 3 consecutive vertebral bodies with anterior wedging, then it may represent scheuermann's kyphosis which is a congenital osteodystrophy, that lead to vertebrae appearing wedged. Fracture is less likely given your age. See a specialist. ...Read more

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Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome? Venous? No known injury.

Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome?  Venous? No known injury.

DVT: Could be many things, but you need to have an ultrasound of your leg to rule out deep vein thrombosis. These can break off and go to the lungs and be life threatening. ...Read more

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Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Radiculopathy: You don't mention what surgical procedure you've had previously, but an l4-5 entrapment would effect the lower extremity and not the thigh. That level would be l2-3. Assuming you've had the MRI you need of the lumbar spine, i'm surprised you haven't had an implanted stimulator to address the pain. Paralysis of muscle groups can become permanent if the entrapment persists long enough. ...Read more