ANAMNESIS / SYMPTOMS:
Patient with diagnosed bronchial carcinoma and extensive carcinomatosis in the mediastinal area.


FINDINGS:
In the area of the right jugular vein shows an intraluminally located, spiral-shaped alteration with partly strongly echogenic reflexes in terms of a sludge phenomenon. The common carotid artery is without pathological findings as well as the other visible structures.

DIAGNOSIS:
Flow disturbance on the basis of bronchial carcinoma and extensive carcinomatosis of the mediastinal area can be described. This causes neck vein distension and a clearly slowed down flow in the internal jugular vein. On the ultrasonic image a so called sludge-phenomenon is visible, which is caused by the slow blood flow.