What is artherosclerotic calcifacations at the bifurcation and into the right common iliac?

Calcium in vessels.: The aorta is the main vessel that feeds the body with blood. It travels from the heart down to the legs and splits (bifurcates) into the l and r common iliac vessels. The study you have demonstrates calcifications in those vessels. It is not uncommon as you get older. The degree of calcification is the question. Did someone order the study? They can probably answer what this means to you.

Hardening arteries: Plaque is developing where the aorta splits into the pelvic arteries (iliacs) due to hardening of the arteries, or atherosclerosis/arteriosclerosis. Same disease causes heart and neck vessel disease. Not uncommon in your age group. Your doctor can walk you through management. Good luck.

Circulatory problem: Calcifications are caused by atherosclerosis, aka hardening or the arteries. It is a sign that you have heart disease/vascular disease. It is common as people get older. See your regular doctor, and possibly, a cardiologist.

PAD/PVD; yes: Atherosclerotic calcification refers to arteries plugged w/calcified cholesterol plaques. Because this occurred in arteries to legs, it means you have peripheral artery/vascular disease. This also means you probably have some blockage in your heart (coronary arteries), too. Possibly even your carotids (in your neck). So yes need to be concerned about this to lower risk for heart attack, stroke etc.

Hardening of artery: You are describing very typical atherosclerosis of the distal aorta--symptoms of this (if any) typically are cramping of the thigh and buttock with walking, particularly stairs.