PMC3927420_01
Phleboscintigraphy: proper radiomarker outflow from the feet, mainly via the deep venous system, also after tourniquet release in the 5th minute of examination.
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Correct radiomarker outflow from the feet via the deep venous system was visualised in phleboscintigraphy (Figure 1A). In the whole-body examination, vascular malformations were detected in the projection of the right tarsus, in the distal end and in the middle part of the right crus, as well as in the left tarsus and above the lateral malleolus of the lower left limb (Figure 1B). Visible vascular malformations in the upper right limb were present mainly in the hand and forearm, reaching proximal 1/3 of the forearm (Figure 1B). A small vascular lesion was also visualised in the posterolateral part of the chest, on the right side (Figure 1B). Static examination also allowed us to detect an anatomic variant, femoral vein duplication, in the upper part of the right thigh (Figure 1C).
PMC3927420_02
Whole-body examination using 99mTc-RBC. Vascular malformation detected in the projection of the right tarsus, in the distal end and in the middle part of the right crus, as well as above the lateral malleolus of the lower left limb (short arrows). Visible deformation of the upper right limb; vascular malformations are visible mainly in the hand and forearm, reaching the proximal 1/3 of the forearm length (arrowheads). A small vascular lesion was also visualised in the posterolateral part of the chest on the right side (long arrow).
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Vein enlargement was observed at that stage in both feet, but proper assessment of those areas was unreliable due to the localisation of injection sites (Figure 2A). A small haemangioma was also detected in the index finger of the right hand (Figure 2B). A vascular lesion in the area of the lateral epicondyle of the left femur was best visualised in the static examination of the thighs (Figure 2C).