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Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings?

A) Chronic venous insufficiency

B) Obesity-related lymphedema

C) Primary lymphedema

D) Lipedema

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