The aorta and its branches are atherosclerotic.
There is stenosis at the proximal abdominal aorta with occlusion of the coeliac and superior mesenteric arteries.
Inferior mesenteric artery aneurysm, measuring 3.0 cm in maximum diameter, is demonstrated.
Supply to the branches of the coeliac and SMA is provided by the inferior mesenteric artery through the dilated central anastomotic mesenteric artery (arc of Riolan) and small marginal artery of Drummond, pancreaticoduodenal arcade and inferior phrenic artery. The left gastric artery and rectal arteries are dilated probably participating in collateral formation.
Left renal artery stenosis is also seen.
- cardiomegaly with minimal pericardial effusion
- hepatic calcifications
- smaller than usual right kidney
- renal cortical scarring, bilateral
- minimal pelvic fluid
- degenerative osseous changes