Progressive Worsening of Calf Swelling

A 33 year old female with history of non-Hodgkins lymphoma currently in remission presented with progressive left calf swelling for the past 2 years.

Symptoms: Constant dull ache and tightness in left leg that becomes worse with prolonged standing. She has no issues with ambulation, fever, chills, shortness of breath, back pain or weight loss.

Physical Exam:

  • Both lower limbs warm and well perfused
  • Distal palpable pulses
  • No skin changes or ulcerations
  • No cellulitis
  • Motor and sensory intact
  • No prominent varicosities
  • Non-pitting edema left leg

What imaging studies should be obtained?

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