Presentation
Bilateral lower limb ischemic pain. Chronic heavy smoker.
Patient Data
Age: 25 years
Gender: Male
From the case:
Buerger disease
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CT angiography 3D-VR-both legs

Occluded right anterior tibial and peroneal arteries at their origin, patent proximal half of the posterior tibial artery with occluded its distal half.
Occlusion of the left anterior and posterior tibial arteries following patent short proximal segments. Patent peroneal artery.
Multiple dilated corkscrew collaterals are noted bilaterally.
The remainder of the arteries appear unremarkable.
From the case:
Buerger disease

Multiple occluded leg vessels & multiple dilated corkscrew collaterals (red arrows)