15th July 2024

A 26-year-old female is referred to secondary care with a blood pressure of 220/140mmHg

A 26-year-old female is referred to secondary care with a blood pressure of 220/140mmHg.  Fundoscopy showed generalised arteriolar narrowing bilaterally.  ECG shows large QRS complexes, particularly across the chest leads. Over the following days, she is reviewed by the endocrinology team who excluded most secondary causes of hypertension.  A magnetic resonance angiography of the renal arteries was requested.

Which of the following appearances on imaging would be suggestive of fibromuscular dysplasia?

Select the SINGLE most appropriate option from the list below. Select ONE option only.