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Too much fun!

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-medium to lightly echogenic (could be anechoic)
-spongy texture
-detached from wall "free floating"
-not compressible
-vein is often dilated with a full thrombus

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-Bright/heterogenous echoes
-Irregular texture (Heterogenous)
-Attached to wall
-Same size as artery or vein is contracted
-Collateral veins may be noted
-String sign
-Non compressible
-Less concerning for emboli

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* Venous duplex ultrasound can identify the presence, exact location, and extent of venous thrombus.
*  Treatment: prophylaxis, anticoagulation, lytic therapy, procedure/surgical tx

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echogenic/bright
along the wall irregular