38 year old male with a history of smoking and no history of diabetes, hypertension, or hyperlipidemia who presents with cold and painful feet.
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Image from a LLE angiogram demonstrating a normal appearance of the common femoral, superficial femoral, and profunda femoral arteries. -
Image from a LLE angiogram showing a normal appearance of the superficial femoral and popliteal arteries. -
Image from a LLE angiogram demonstrating a normal appearance of the popliteal artery as well as the posterior tibial and peroneal arteries to the mid-calf. There is an occlusion of the anterior tibial artery at the mid-calf. -
Image from a LLE angiogram demonstrating occlusion of the anterior tibial, posterior tibial, and peroneal arteries at the mid-calf with corkscrew collateral vessels from the mid-calf to the foot.