Gray scale and color duplex ultrasound showing reflex with the valsalva maneuver at the saphenofemoral junction (SFJ). Note the valve leaflets on the left image never oppose one another.
55 year old female that underwent a skin biopsy with non healing of the biopsy site at 7 weeks.
62 year old female with 2 months of short distance claudication and rest pain at night
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.