Presentation
Abdominal pain.
Patient Data
Diffuse atherosclerosis in the aorta and its branches in the form of wall irregularity and calcifications.
Fusiform aneurysmal dilatation of the infrarenal segment of the abdominal aorta measuring about 6.5 cm in maximum transverse diameter, 6 cm AP and 8 cm in craniocaudal length, extending from the L2 to L4 vertebral levels. The aneurysm begins about 4 cm distal to the origin of renal arteries and terminates at the aortic bifurcation. Eccentric mural thrombus up to 6mm thick along the posterosuperior aspect of the aneurysm. No adjacent fat stranding or contrast extravasation. The inferior mesenteric artery arises from the superior aspect of the dilated aortic segment and is normal in caliber.
The left common iliac artery contains eccentric plaque and is mildly dilated at its origin.
Incidental hepatic cirrhosis and portal hypertension with perigastric and esophageal varices.
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