Patient Detail: Registration Location: Reference: Patient Number:

Mr. Umar Farooq. . Radiology-10: Ali Center CMC Medical Center Radiology OOC Discount 18001-24-13834001
Age/Sex : Registration Date: Consultant: Case Number:
37 (Y) / M 24-Apr-2024 00:34 .DR M. UMAR 18005-24-04
Note : ,,,

Department of Radiology Reporting Time: 26-Apr-2024 15:46

CT Angiogram Runoff

History: Bilateral claudication with history of recurrent vasculitis of the lower limbs. Left femoral bypass was
done in 2017.
Comparison: None

Electronically verified report. No signature required. Lab reports should be interpreted by a physician in correlation with clinical and radiologic findings.
Findings:
No intra-cardiac thrombus. Normal opacification of the thoracic aorta. Normal origins of brachiocephalic
trunk, left common carotid artery and left subclavian artery.
Abdominal aorta shows eccentric mural thrombus in supra and infrarenal segments causing moderate to
borderline significant ( 50 -70 % at places) narrowing.
Patient origins of celiac trunk and SMA. Both renal arteries are patent.
Long segment complete occlusion of the right common iliac artery and significant diffuse stenosis of right
external iliac artery. Proximal narrowing of the left common iliac artery.
Irregular linear filling defects are seen in the iliac arteries suggestive of chronic thrombosis.
Prominent lumbar arteries at L4 and L5 levels.
Collaterals are also seen in the anterior and lateral abdominal wall though the inferior epigastric arteries.
These changes are more marked on the right side.
RE-constituted flow in the right common femoral artery. Diffusely diseased right superficial femoral and
deep femoral arteries with irregular filling defects from chronic thrombus.
Corkscrew collaterals are seen just proximal to the right knee joint. Tiny irregular filling defects are also seen
in the right popliteal artery.
Proximal opacification of the tibial arteries with reduced distal run off on the right side on arterial phase
Delayed phase is not available.
There is completely occlusion of the left superficial femoral artery with prominent flow in the left deep
femoral artery and multiple corkscrew collaterals noted in the posterior thigh and reconstituted flow in
partially opacified popliteal artery.
Proximal opacification of the tibial arteries with poor distal run off.

IMPRESSION : Moderate to borderline significant eccentric muralized plaques in the supra and infra-renal
abdominal aorta.
Long segment occlusion of the right common iliac and significant diffuse stenosis of right external iliac
arteries. Multiple collaterals along the lumbar arteries and along the anterior & lateral abdominal wall with
reconstituted flow in the right femoral and popliteal arteries
On the left side, complete occlusion of the left superficial femoral artery with multiple corkscrew collaterals
in the posterior thigh region and reconstituted flow in the proximal calf.
Proximal opacification of the tibial arteries with reduced distal opacification on arterial phase.

Dr Ahmad Zafar Khan

Dr. Ahmad Zafar Khan Dr. Hira Asghar Dr. Furqan Ahmad Dr. Omar Chughtai Dr. A . S. Chughtai
Senior Medical Officer(Radiology) M.B.B.S, F.C.P.S.(Pak), EDiR M.B.B.S (KE) , F.C.P.S (Pak) M.B.B.S., M.D., F.C.A.P. M.B.B.S., M.I.A.C., M.Phil.
Body Imaging Specialist Consultant Diagnostic Imaging Specialist Diplomate American Board of Anatomic F.C.P.S., F.C.P.P.Consultant Pathologist
Radiologist and Clinical Pathology

03111456789 info@chughtailab.com 07 - Jail Road Main Gulberg-III, Lahore www.chughtailab.com

 Patient Detail: Registration Location: Reference: Patient Number:
Mr. Umar Farooq. . Radiology-10: Ali Center CMC Medical Center Radiology OOC Discount 18001-24-13834001
Age/Sex : Registration Date: Consultant: Case Number:
37 (Y) / M 24-Apr-2024 00:34 .DR M. UMAR 18005-24-04
Note : ,,,

Delayed phase is not available.

SUGGESTION: This interpretation is based on presenting clinical context and available information.
Correlation with the clinical assessment, previous imaging and laboratory investigations is suggested. The
study can be reviewed in case of any clinical query.

Dr. Ahmad Zafar Khan

The report is based on available clinical information. Correlation with clinical assessment ,previous imaging and
laboratory investigations are suggested. The study can be reviewed in case of clinical query.

Dr Ahmad Zafar Khan

Dr. Ahmad Zafar Khan Dr. Hira Asghar Dr. Furqan Ahmad Dr. Omar Chughtai Dr. A . S. Chughtai
Senior Medical Officer(Radiology) M.B.B.S, F.C.P.S.(Pak), EDiR M.B.B.S (KE) , F.C.P.S (Pak) M.B.B.S., M.D., F.C.A.P. M.B.B.S., M.I.A.C., M.Phil.
Body Imaging Specialist Consultant Diagnostic Imaging Specialist Diplomate American Board of Anatomic F.C.P.S., F.C.P.P.Consultant Pathologist
Radiologist and Clinical Pathology

03111456789 info@chughtailab.com 07 - Jail Road Main Gulberg-III, Lahore www.chughtailab.com