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Updated: Mar 7, 2026

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
Reversed internal jugular vein flow as a sign of brachiocephalic vein obstruction
1Department of Nuclear Medicine PET and Ultrasound Westmead Hospital New South Wales 2145 Australia.
Abstract:
The value of colour Doppler sonography is well known in the assessment of venous disease, including obstruction/occlusion from thrombosis. Central venous disease, however, can be more difficult to directly assess than disease in peripheral veins. Accordingly, there is significant value not only in the direct signs of venous disease, but also in the indirect signs. We report a case of reversed internal jugular vein flow in a patient with left arm swelling as a sign of brachiocephalic vein obstruction.
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