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CT Angiography, Lower Extremity, Venous — Right, With and Without IV Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT scan uses X-rays and intravenous contrast to examine the veins of the right lower leg, often to evaluate suspected blood clots or other venous problems.

Quick summary

["This imaging test can identify or rule out blood clots and other abnormalities in the lower-leg veins."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
46307-5
Short code
CTA LE ves-R WO+W contr IV
Synonyms
CTA LE ves-R WO+W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
20
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
CPT
85651
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Lower extremity venous CT angiography is an X-ray-based imaging test that evaluates the veins in the right leg. Images may be taken before and after intravenous contrast is given so the blood vessels can be seen more clearly.

Why might I need this test?

It may be ordered for signs of a deep vein thrombosis, such as one-sided leg swelling, pain, redness, or tenderness. It can also assess other venous conditions when ultrasound results are inconclusive or symptoms are persistent.

How is the test performed?

You lie on a CT table while an X-ray scanner takes pictures of the leg. IV contrast is administered through a vein to highlight the blood vessels, and a radiologist interprets the images.

How do I prepare for the test?

Fasting is usually not required unless your imaging center gives specific instructions. Tell the care team about any contrast allergy, kidney disease, pregnancy possibility, medications, or recent surgery before the scan.

Reference range

Adult males: 0-15 mm/hr; Females: 0-20 mm/hrN/A

Specimen: serum

No special preparation required. CRP may be affected by acute illness.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An abnormal result may show a blood clot, narrowing or blockage of a vein, or other changes related to venous pressure and circulation. A normal result makes a blood clot less likely but does not explain every cause of leg swelling or pain. The findings should be interpreted alongside your symptoms and other examination or laboratory results.

Short name

Lower Extremity Venous CTA

Frequently asked questions

What does “with and without contrast” mean?
Some images are taken before contrast is given, and additional images are taken after IV contrast enters the bloodstream. This can help distinguish vessels from nearby tissues and provide a more complete assessment.
Why is IV contrast used?
Contrast makes blood vessels easier to see on CT images. It may feel warm when injected and can occasionally cause nausea, but serious reactions are uncommon.
What should I do if I have leg swelling or pain?
Seek urgent medical attention for one-sided leg swelling, significant pain, redness, or sudden shortness of breath. These symptoms may require immediate evaluation rather than waiting for routine imaging.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy