This is too much for someone without specialization in vascular surgery/angiology, let alone the general medical education...You clients need to understand that.

I presume that your diagnosis is about venous insufficiency, but I cannot be sure without further context. Here's how I understand it:

The patient has chronic venous insufficiency (CVI). Extr. means extremities ( in this case lower extremities). Ing could stand for 'inguinal', since in CVI, they're checking the insufficiency (regurgitation) of the valve of the femoral vein in the inguinal region (Doppler).

Utq, however, I am sure about: bilaterally, meaning on both lower extremities.

They could, however, also be talking about an arterial disease. Do you have some further context? Even from a small detail, I could possibly deduce something further...