Fig. 1

79 y male with metastatic chondrosarcoma presented with new onset of bilateral lower extremity swelling. A CT of the abdomen showing growing hepatic metastasis compressing the intrahepatic IVC (Black arrow). B Venography showing attenuation of the intrahepatic IVC. C Post stenting venography showing successful restoration of flow with disappearance of collaterals after placing 20 mm stent and post-stenting venoplasty using 20 mm balloon. D CT of the abdomen obtained one week later due to persistent abdominal pain showing patent stent and new bleeding into some of the hepatic lesions (not shown). Lower extremity swelling already improved