Fig. 15

A 53-years-old male patient with a history of peripheral atherosclerosis. He presented to the emergency unit with acute severe bilateral leg pain and coldness. No chest symptoms were encountered. [A] Chest CT was urgently performed before admission, it revealed bilateral sub-pleural typical COVID-19 pneumonic ground-glass patches (blue arrows). CTA of the lower abdominal aorta and peripheral lower limbs was performed. [B–D] Surface shaded and colored VR images showed bilateral acute SFA and popliteal artery occlusion on top of heavy atherosclerotic changes with non-opacification of the popliteal trifurcation of infra-genicular arteries bilaterally (red arrows). PCR test result for COVID-19 infection was revealed to be positive and the D-dimer level was shooting (5125 ng/ml)