Severe coarctation of the aorta with only a tiny pinhole-like communication at the site of coarctation. Extensive collateralisation of the entire upper thoracic intercostal circulation as well as internal mammary, superior and inferior epigastric vessels consequent upon the coarctation. Associated inferior rib notching.
The abdominal aorta is rather diminutive in calibre, presumed consequent upon the coarctation.
The coeliac axis is rather generous in calibre. The common hepatic artery arises solely from the SMA with no hepatic contribution from the coeliac.
The iliac vessels are normal other than being diminutive.
Pronounced hypertrophy of the inferior epigastric arteries.
The lungs are clear.
There is a small low-attenuation lesion peripherally in the right lobe of the liver likely representing an incidental liver cyst.
Normal arterial phase appearances of the spleen, pancreas, gallbladder, adrenal glands and both kidneys.