I can't remember how many lumbar films I've read and just reported, "atherosclerotic plaquing of the abdominal aorta," leaving it at that. My only concern was to rule out aneurysmal enlargement. I don't generally mention anything in my impressions regarding atherosclerosis involving the abdominal aorta unless there is an enlargement of ≥ 3 cm. I just assume the patient is aware they have cardiovascular disease. 

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