Pulsatile-flow-in-veins

The lower limbs veins show pulsatile flow throughout the venous systgem - (in this case it was bilateral). Typical of right heart failure/ CCF.

Normal flow in veins shown below (normal veins in this patient). Mild phasicity is present along with augmentation on valsava manoever.  

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                https://www.ultrasound-images.com/vascular-doppler-2/