SVC syndrome?

Full disclosure I’m a scribe in the ER with an interest in radiology, but my experience is very limited so if I say anything that makes no sense that’s why. I saw a patient today with a PA who had right upper extremity swelling and right neck swelling with blanching skin when pressed. I had seen SVC in another patient in the past and thought it could be that. I looked at the CT and there was a pleural effusion and mass. It also looked like there was a blockage in the SVC, but the radiology report didn’t say anything about it. After showing the PA and asking him if he thought it looked like SVC, he seemed convinced. We called the radiologist, who said the blockage of the SVC was just an artifact. To me it seems odd to pass it off as an artifact because the symptoms all seem to be explained by it. The ER docs looked at it and decided to treat it like SVC because it seemed to match the clinical presentation. I’ve attached the CT. I’d love to hear some input. Please be nice, I’m new to this ;) submitted by /u/ice-wallow-come52 [link] [comments]

source https://www.reddit.com/r/Radiology/comments/132ju5x/svc_syndrome/