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Evidence of compression effect of the left renal vein between the superior mesenteric artery (SMA) and aorta with reduced aortic-SMA angle about 35° (the normal angle is approximately 45°).

Subsequent multiple collateral pathways at the renal hilum: main collateral pathway is the left gonadal vein which will display early enhancement during portal venous phase, suggestive of Nutcracker Phenomenon for clinical correlation to rule out Nutcracker syndrome.

Calcified atherosclerotic changes are seen in the visualized aorta and its major branches.

The penile prosthesis is noted.

No other gross abnormality detected.