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A physical therapist is examining a patient with signs of unilateral lower extremity edema that do not change with elevation.  The patient has a history of frequent skin infections and displays indurated skin at the ankle of the involved lower extremity.  During the examination, the clinician attempts to lift the skin on the dorsum of the toes and is able to easily grasp and lift the skin on the involved lower extremity.  Which of the following is the best interpretation of this maneuver?

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