Subclavian vein thrombosis with internal jugular vein extension in an Australian rules football player

Ultrasonography showing extensive occlusive thrombus throughout the right subclavian vein projecting into the internal jugular vein A 40-year-old female Australian rules football player presented to a rural emergency department with a 3-hour history of swelling and pain in her right upper limb. She denied chest pain, dyspnoea, cough, fevers or other symptoms. There was no history of cigarette smoking, oral contraceptive use, trauma, family history of coagulopathy or other significant past medical history. She was right-hand dominant and reported training most days and participating in competitive matches and team practices 3 days a week, with no recent increase in training intensity.