Review Question - QID 216690

A 68-year-old woman presents to clinic with lower extremity weakness, cramping, and pain that occurs whenever she goes for a walk. The pain seems to subside if she rests, but lately she has noticed that the weakness and cramping in her legs are getting worse. Her past medical history is notable for hypertension, hyperlipidemia, and chronic kidney disease. She smokes 1 pack of cigarettes a week for the past 30 years. Her temperature is 98.4°F (36.9°C), blood pressure is 150/68 mmHg, pulse is 66/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam reveals the finding in Figure A. Her lower extremities are smooth and cool to the touch. Her motor function is intact and she can plantar and dorsiflex. Which of the following is the most likely finding upon diagnostic evaluation of this patient?