leriche syndrome

Atheromatous changes with extensive low attenuation distal, infrarenal abdominal aortic thrombus extending from the level just inferior to the renal arteries, involving the aortic bifurcation with further extending to proximal parts of bilateral common iliac arteries with complete luminal occlusion (100% luminal narrowing) – represents Aortoiliac occlusive disease, ( Leriche syndrome).

 Bilateral external, internal iliac artery demonstrates narrow caliber with lack of contrast opacification.

 Bilateral superficial femoral artery, profunda femoris artery and popliteal artery demonstrates narrow caliber along the entire course, related to post-stenotic sluggish flow.  

 Multiple collateral vessels along the anterior abdominal wall, inguinal region and anterior compartment of proximal thigh.