The patient is a 93-year-old female who presents to the ED complaining of right upper arm swelling over the past several days. The patient has a history of a right breast carcinoma. She recently diagnosed and she has been placed on Tamoxifen. She had a venous doppler study done in the private medical doctor's office which showed that she had a DVT of the right upper arm and therefore she was referred to the ER. Her private physician is Dr. Shiraz Yussaf and oncologist is Dr. McIntosh. Her medical conditions are hypertension. Venous ultrasonography revealed a somewhat elongated nonobstructing thrombus in the right internal jugular vein. The entire right basilic vein is thrombosed and noncompressible. On presentation she started on Lovenox
