Impression
1. Extensive atherosclerotic disease most severely affecting the bilateraliliofemoral segments. On the right, there were multifocal short segmentocclusions of the SFA related to atherosclerotic disease with partial supply ofthe right popliteal artery from collaterals off the profunda. On the left, therewere multifocal areas of severe narrowing in the SFA with short segmentocclusion just before the popliteal artery, which is also partially suppliedfrom the right profunda.2. Patent 3 vessel runoff to the extent evaluated. The left dorsalis pedis isnot well opacified.-Note: Radiology results need to be interpreted within a comprehensive clinicalcontext. If you have questions about the radiology report, please contact theoffice of the ordering clinician.
Narrative
CT ANGIO ABDOMINAL AORTA AND BILAT ILIOFEMORAL RUNOFF W CONTRAST 7/10/2025 1:02PMCLINICAL HISTORY: I73.9-Peripheral vascular disease, unspecified-ICD-10-CMI72.3-Aneurysm of iliac artery-ICD-10-CM.COMPARISON: None.PROCEDURE COMMENTS: Multidetector CT angiography of the region of interest.Isovue 370 IV contrast given as recorded in EPIC. Multiplanar reconstructionsgenerated and reviewed, including 3D MIPS.Dose 1 : CTDLP Total : 1983.13 mGycmDLP Spiral Max : 1710.2 mGycmMaximum CTDI Vol : 12.18 mGySSDE : 15.9558 mGySSDE Diameter : 28.4 cmSSDE Source : AP+LatFINDINGS:VISCERAL VESSELS:The celiac and superior mesenteric arteries are patent, with moderate to severecalcified plaque at the origin of the superior mesenteric artery. The inferiormesenteric artery is diminutive but patent. There are patent, 2 right and leftrenal arteries, with the right superior accessory artery small in caliber. Thehepatic artery vessels are patent. There are no replaced or accessory hepaticarteries.INFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout theinfrarenal abdominal aorta and bilateral iliacs. Partially thrombosed mildaneurysmal dilatation of the right common iliac artery measuring up to 2.6 cm.Severe narrowing of the proximal left common iliac artery due to mixedatherosclerotic plaque with a short segment of near occlusion (axial image 103).Inflow is otherwise patent.OUTFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout thebilateral common femoral, SFA, and popliteal arteries. There are multifocalshort segment occluded segments of the right SFA proximally, with some of theflow to the popliteal artery off muscular collateral branches from the profunda.On the left, there are multifocal areas of severe narrowing with a short segmentocclusion of the distal SFA just before the left adductor hiatus, with the leftpopliteal artery also supplied partially muscular collaterals from the leftprofunda femoral.RUNOFF VESSELS:The bilateral three-vessel runoff is patent to the extent evaluated, withlimited opacification limiting evaluation of the bilateral peroneal arteries.The bilateral plantar arch and right dorsalis pedis are patent. The leftdorsalis pedis is poorly opacified.LOWER CHEST/ ABDOMEN/ PELVIS:Limited images of the lung bases are normal. The liver, gallbladder, spleen,adrenal glands, kidneys, pancreas and pelvic viscera are normal. Theunopacified bowel is unremarkable.