Descriptive Reporting Over Syndrome Labels for Pelvic Venous Imaging Findings

Pelvic venous findings are common in asymptomatic patients; labeling them as syndromes (nutcracker, May-Thurner) on imaging alone can lead to unnecessary care. A descriptive reporting framework may enhance communication and reduce overtreatment.

• This AJR perspective argues that imaging-based diagnoses of nutcracker syndrome, May-Thurner syndrome, or pelvic congestion syndrome contribute to unnecessary interventions and confusion.
• The authors advocate for a descriptive reporting framework that details venous anatomy rather than assigning syndromic labels.
• No prospective outcome data are provided to quantify the framework's impact on overtreatment (exact figures not reported in source).

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