Presentation
Sudden severe chest and neck pain
Patient Data
Age: 85 years
Gender: Male
From the case:
Penetrating ulcer ascending aorta
![](https://prod-images-static.radiopaedia.org/images/2868804/8f3a1a101eb23724012b286da2b20c_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2868811/5aa93c5281036ec6367d2995a56b9d_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2868818/119e5031a4f82e90b2a5f9e6bbcaed_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2868825/36ab262f5807598806babc8405242c_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2868832/27da4920a0041c6268bdaef3b80605_thumb.jpg)
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Info
![](https://prod-images-static.radiopaedia.org/images/2868804/8f3a1a101eb23724012b286da2b20c_big_gallery.jpg)
Focal intimal defect in the thickened wall of the ascending aorta with contrast leak inot the wall and subtle but definite blood in the medistinum indicating impending rupture.