69 year old woman with metastatic pancreatic cancer and incidentally identified ovarian vein thrombosis complicated by pulmonary embolism. Coronal contrast enhanced CT (Siemens Sensation 64, 120 kVp, 350 mAs, 5 mm slice thickness, 100 ml Omnipaque 320, portal venous phase) reconstruction from four month prior exam demonstrating normal caliber (3–4 mm), homogenously opacified right ovarian vein lateral to right ureter (short large white arrow). One of many liver metastases is marked by a long white arrow. Insert magnification view labels right ovarian vein and right ureter (thin white arrows). Note small well opacified, patent, right ovarian vein of normal caliber (3–4 mm).