66 year old male, Type 1 Diabetes, end stage renal disease on hemodialysis, developed sudden onset of left calf pain. No history of trauma. Ultrasound was negative for DVT. MRI was obtained showing increased signal in the gastrocnemius muscle. Findings are consistent with diabetic muscle infarction.
Asymptomatic slowly enlarging internal iliac artery aneurysm
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.