PMC7249544_01
Initial presentation was a diffusely edematous and erythematous facial plaque.
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Examination revealed a diffusely edematous facial plaque that was firm to palpation and associated with erythema that was continuous throughout including the nasolabial folds (Figure 1).
The patient's ventral chest, demonstrating prominent and dilated veins.
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On further evaluation, she was found to have prominent and dilated veins on the ventral chest and neck (Figure 2), as well as enlarged tortuous veins on her abdomen (Figure 3).
The patient's upper abdomen, showing enlarged tortuous veins.
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On further evaluation, she was found to have prominent and dilated veins on the ventral chest and neck (Figure 2), as well as enlarged tortuous veins on her abdomen (Figure 3).
CT angiogram of the chest. (a) A coronal view and (b) an axial view, both show the occluded SVC (left-sided arrow on the patient's right) and the bright white opacified collaterals (right-sided arrow on the patient's left).
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An urgently ordered computed tomography (CT) of the chest revealed complete obstruction of SVC due to thrombosis, with multiple collateral vessels throughout chest and mediastinum (Figure 4(a) and (b)).