Image of the Week: Erectile dysfunction and bilateral buttock pain

A 56-year-old man presents with a 3-month history of erectile dysfunction and bilateral buttock pain on exertion, but not at rest. His past medical history is significant for type 2 diabetes, dyslipidemia, and hypertension. Examination reveals bilaterally diminished femoral pulses. What is the most likely diagnosis? Learn more about this case, take the quiz, and join the conversation on