There is a large fusiform aortic aneurysm with an endovascular stent within. The posterior aortic wall is flattened with effacement of the fat plane between the vertebrae and the aorta consistent with the draped aorta sign.
Wall bulging and discontinuity are seen in the left posterolateral wall of the aneurysm with related vascular leakage anterior to the left psoas muscle with resultant anterior displacement of the left kidney.