A 63 year old male with long-standing CVI and history of bilateral lower extremity venous ulcers presented to the clinic for worsening skin changes in the right medial malleolus 4 months ago.
— Male 46 years old.
— Pain started a week ago at the knee.
— In a period of a 3 days he developed significant swelling from the knee to the ankle. The swelling was getting progressively worst until he came to the ER 7 days later.
— No history of thrombosis, trauma or surgery.
— No medications.
— He was sent to have a left lower extremity venous ultrasound.