Another Vascular Case Confirmed by Imaging
I finally found a doctor willing to prescribe a contrast CT scan of the abdomen and pelvis with delayed venous phase imaging.
THE REPORT
"Minimal compression of the left common iliac vein between the right common iliac artery and the L4 vertebral body prior to its confluence into the inferior vena cava, with non-significant caliber reduction"
Signs of pelvic floor congestion with presence of some periprostatic venous plexuses
Presence of multiple phleboliths at pelvic level, bilateral location."
More and more guys with HF are starting to find venous abnormalities once they get proper vascular imaging done. This suggests that a lot of people may never have had the right thing investigated in the first place.
The scans that seem most useful so far are iodine contrast CT venography (abdomen + pelvis) with delayed venous phase and evaluation by a vascular/interventional radiologist. (for anyone trying to replicate this; “Delayed venous phase” is not optional, it needs to be included.)
At the very least, knowing whether your pelvic veins are normal or not can completely change how you approach your case.
This is a throwaway account I made for Reddit, as I only use Discord nowadays. So probably updates will not follow.