An 80-year-old male patient with an axillobifemoral bypass graft presented for follow up. The graft had been necessary due to an occluded right common iliac artery and bilateral external iliac arteries 7 years ago. The disabling claudication and rest pain in both lower limbs improved after the operation. However, intermittent claudication in the right lower limb began again 3 years ago and has progressed ever since. A Dual Energy CT (DECT) was requested for further evaluation.
