Abdominal aortic aneurysm

Case contributed by Mohammadtaghi Niknejad


Pulsatile abdominal mass feeling.

Patient Data

Age: 75 years
Gender: Female

Post-operative changes are seen due to sternotomy and CABG.
A few small nodules, less than 8mm are scattered at both lungs which seems to be fibrotic nodules. There are also several atelectatic bands scattered bilaterally. 
Cardiomegaly is present and ascending aorta are dilated up to 42mm. 
Degenerative changes as osteophytosis are seen at the thoracic spine.
Large size sliding hiatal hernia is noted.
Aneurysmal dilatation up to 48 mm is noted at infrarenal portion of abdominal aorta that contains mural thrombosis of 18 mm in maximum thickness. No evidence of contrast media leakage is noted. 
The gallbladder is not seen at anatomical location due to prior resection.
A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 65mm. There are also several small parapelvic cysts at both kidneys. 
Fat containing small para-umbilical hernia is noted. 
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Infrarenal abdominal aortic aneurysm with mural thrombosis.

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