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Updated: May 7, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Just another negative DVT?

Devesh Sharma¹, Abha Govind

¹Department of A&E Medicine, Frimley Park Hospital, Camberley, UK.

BMJ Case Reports

|September 28, 2013

Summary

A 69-year-old woman with leg swelling was diagnosed with metastatic carcinoma. Initial tests suggested deep venous thrombosis, but further imaging revealed enlarged lymph nodes and malignancy.

Area of Science:

Oncology
Radiology
Hematology

Background:

A 69-year-old female presented with unilateral leg swelling.
Initial investigations included D-dimer testing and ultrasound.

Observation:

D-dimer was positive, suggesting possible deep venous thrombosis (DVT).
Radiology ultrasound showed no definitive DVT but lacked respiratory modulation.
Emergency department ultrasound revealed enlarged inguinal lymph nodes and low hemoglobin.

Findings:

Computed tomography (CT) scan confirmed metastatic carcinoma.
The findings highlight the importance of comprehensive imaging and laboratory evaluation in diagnosing malignancy.

Implications:

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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

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Published on: February 10, 2023

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

This case underscores the need to consider metastatic disease in patients presenting with leg swelling and inconclusive DVT findings.

Early diagnosis through advanced imaging like CT is crucial for effective cancer management.

Multidisciplinary assessment integrating radiology and hematology can improve diagnostic accuracy.