A 77-year-old male patient, with a history of coronary artery bypass grafting and hypertension, had undergone endovascular aortic aneurysm repair (EVAR) in 2012. Four years later, the EVAR had been extended into the left internal and external iliac artery, due to a distal type I endoleak. In a recent routine follow-up, a dynamic abdominal CT angiography (CTA) was requested to rule out a suspected endoleak.