Dissection flap extending from the aortic root down to the level of the upper abdominal aorta. The dissection flap begins just above the level of sinotubular junction down to the level of the upper abdominal aorta to just above the level of the origin of renal arteries. The aortic root at the mid aortic sinus is 5.4 cm. The coronary arteries are normally opacified.
The great vessels of the neck, coeliac axis and SMA are supplied from the true lumen of the dissection. The maximum diameter of the descending aorta is 2.1 cm and the aorta at the level of the arch is 2.5 cm. Normal opacification of the pulmonary arteries.
Right-sided diaphragmatic hernia containing left lobe of the liver. Most of the left lobe of the liver is in the anterior mediastinum in the retrosternal region.
Lungs clear. No pleural effusions or mediastinal haematoma.