Quiz and question

Thanks to those who took a stab.

I was at first thinking the huge IVC, pelvic congestion and bilateral varicocoeles meant right heart failure or IVC obstruction, then I remembered that a cardiologist once told me I had ‘athletes heart’ on the echo I had after a particularly torrid Ironman. I googled and endurance athletes can get a large IVC.

doi.org

Told referrer to get echo if they are symptomatic.

G

36yr man who runs 50 miles per week.
He has symphyseal and right sacroiliac stress as well as PLAC injury and labral abnormality.

Quiz: What caught my eye and what is probable ‘incidental’ diagnosis?
Question: Anyone else seen this?

Cheers

Graeme

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