Coronal IR (A, TE/TR=19ms/5175ms) and axial PD (B, TE/TR=35ms/2005ms) images in a 57 year-old woman status post total hip arthroplasty demonstrates proud acetabular fixation screw (black arrowhead) impinging the common iliac vein (white arrowhead), with associated deep venous thrombosis (black arrow), which was confirmed on subsequent Doppler ultrasound (C), which demonstrates lack of power Doppler flow within the common femoral vein (white arrowheads); thrombus was found to extend both proximally and distally.