Report says - Finding: The right internal jugular vein measures 13.1 mm in the J1 segment and 5.4 mm in the J2 segment, and failed to demonstrate reflux in the upright or supine position, and the cross sectional area is larger in the supine position consistent with a positive delta number. The right vertebral vein fails to demonstrate reflux in the upright or supine position. There is abnormality noted at the jugular valves, which is thickened. There is also no flow detectable within deep cerebral vein with exploration. These findings are consistent with 1/5 positive Zamboni criteria.
In the left, the jugular vein measures 7.7 mm in the J1 segment and 3.8 mm in the J2 segment. The jugular vein shows bidirectional flow in the upright and supine position. The deep cerebral veins fail to demonstrate any flow at exploration. The cross-sectional area at the jugular vein is larger in the supine position with a positive delta number. The vertebral veins failed to demonstrate any evidence of reflux. There is thickening of the valve on the left. These findings are consistent with 3/5 Zamboni criteria.
No flow within the deep cerebral vein. Abnormal right jugular valve, which is thickened. Left jugular is refluxing (bidirectional flow) when upright and when supine. No flow in the deep cerebral veins. An abnormal thickened jugular valve on the left.
Dr. Makris did not think this warranted another procedure?