Stranding and wall thickening involving a 5 cm length of the distal abdominal aorta at the bifurcation. This extends to involve approximately 2 cm of the proximal aspects of both common iliac arteries. The finding is in keeping with aortitis.
There are lobulated saccular aneurysms arising from the aortitis.
There is an associated peri-aortic collection with gas extending anterior and inferior to the aorta.