A Tumultuous Course of Exogenous Testosterone by a Bodybuilder Causing a Catastrophic Hypercoagulable State in the Surgical Intensive Care Unit

Figure 4

CT angiogram abdominal aorta with right lower extremity runoff shows a globular filling defect at the mid and distal segment of the right SFA most consistent with an arterial embolus. The right profunda artery is grossly unremarkable. There is grossly adequate 3 vessel runoff. Left superficial femoral artery is grossly patent as well as popliteal artery with 3 vessels runoff. Both external iliac arteries are grossly patent. Both common femoral arteries are grossly patent.