What are three signs of traumatic aortic injury on chest radiograph?
Mediastinal widening (>8cm in width, or >25% change); Loss of aortopulmonary window; Abnormality in the transverse aortic arch.
- There is a large aneurysm involving the descending thoracic and suprarenal abdominal aorta which on the antero-posterior view has a maximal diameter of 9cm involving the distal thoracic aorta. There is rupture of the aneurysm into the right pleural space which tracks into the posterior mediastinum as well as to the right retroperitoneum.