
Fig. 7B. 71-year-old woman with pain in left lower calf during exercise. This
case is example of overestimation of stenosis using MR angiography. This
discrepancy may be caused by projection-related limitations of conventional
angiography. Other findings such as mild stenosis in mid third of left
superficial femoral artery, severe stenosis of distal superficial femoral
artery, and occlusion of popliteal artery on left side were correctly
diagnosed on MR angiography. Trifurcation of runoff vessels as normal variant
on right side and filling of proximal segments of anterior and peroneal artery
after occlusion by collateral vessels on left side are displayed by both
three-dimensional MR angiography and conventional angiography.
Three-dimensional MR angiographic maximum-intensity-projection images in
anteroposterior projection (A) and rotated view (B) show lesion
of external iliac artery (arrow) immediately distal to origin of
internal iliac artery. Lesion was interpreted as severe.