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Thoracic outlet syndrome arising from an extrapleural lipoma

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1 Thoracic outlet syndrome arising from an extrapleural lipoma
Shayan Ahmed, MBBS, BSc, Jason Lewis, MBBS, MRCS, Ahmed Abidia, MBchB, FRCS, William Partridge, MBBS, MRCS, FRCR, Mohamad Hamady, MBchB, FRCR, EBIR, Zaid Aldin, MBchB, MRCS, FRCR  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 2, Issue 4, Pages (December 2016) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 Digital subtraction venography of the left upper limb. a, The view taken on upper limb adduction demonstrates a small cluster of superficial veins, but they are unremarkable with respect to venous occlusion. b, On upper limb abduction, there is tapering of the subclavian vein at the level of the first rib. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 Chest radiograph demonstrates a soft tissue mass in the apex of the left lung with the absence of a cervical rib or any other predisposing bone abnormality. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 Axial slices from contrast-enhanced computed tomography of the thorax—4.5- × 11.8-cm extrapleural lipoma within the anterior chest wall and abutting the subscapularis and levator scapulae. a, Evidence of extrinsic compression on the left subclavian artery at the level of the first rib, where it is being impinged between the scalenus anterior muscle and lipoma. b, Lipoma is causing tapering of the subclavian vein at the level of the first rib. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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