![Multiple AVMs and limb overgrowth in a 19-year-old woman with Parkes Weber syndrome (PWS). (A, B) Color Doppler US images of the left foot show the dorsalis pedis artery (DPA) demonstrating high-velocity flow with a low resistive index (A) and prominent veins demonstrating pulsatile waveforms compatible with arterialization of the draining veins (B). (C) Coronal T2-weighted short τ inversion-recovery MR image shows the left lower extremity with multiple disorganized subcutaneous and intramuscular AVMs, with intraosseous involvement in the left femur, tibia, and calcaneus and relative overgrowth of the left lower extremity osseous structures.

Wang MX, Kamel S, Elsayes KM, et al. Vascular Anomaly Syndromes in the ISSVA Classification System: imaging findings and role of Interventional radiology in management. Radiographics. 2022;42(6):1598-1620. doi:10.1148/rg.210234](attachment:2021ec86-8add-4942-bced-8ba31c94da3a:image.png)

Multiple AVMs and limb overgrowth in a 19-year-old woman with Parkes Weber syndrome (PWS). (A, B) Color Doppler US images of the left foot show the dorsalis pedis artery (DPA) demonstrating high-velocity flow with a low resistive index (A) and prominent veins demonstrating pulsatile waveforms compatible with arterialization of the draining veins (B). (C) Coronal T2-weighted short τ inversion-recovery MR image shows the left lower extremity with multiple disorganized subcutaneous and intramuscular AVMs, with intraosseous involvement in the left femur, tibia, and calcaneus and relative overgrowth of the left lower extremity osseous structures.

Wang MX, Kamel S, Elsayes KM, et al. Vascular Anomaly Syndromes in the ISSVA Classification System: imaging findings and role of Interventional radiology in management. Radiographics. 2022;42(6):1598-1620. doi:10.1148/rg.210234