Figure 2.

69 year old woman with metastatic pancreatic cancer and incidentally identified ovarian vein thrombosis complicated by pulmonary embolism. Coronal contrast enhanced CT scan (Siemens Sensation 64, 120 kVp, 325 mAs, 3 mm slice thickness, 100 ml Omnipaque 320, portal venous phase) demonstrating dilated (7 mm) right ovarian vein medial to right kidney with a long segment filling defect consistent with thrombus (long white arrows). Also note extensive low density ill-defined hepatic masses consistent with metastatic disease (not marked). Contralateral left ovarian vein (arrow heads) demonstrates homogenous opacification and normal caliber of 3–4 mm.