Presentation
Chest pain radiating to the back
Patient Data
Age: 30 years
Gender: Male
From the case:
Aortic aneurysm and penetrating ulcer
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Aortic aneurysm and tortuousity with circumferential thrombus and a large penetrating ulcer just distal to the arch, pointing anteriorly. Bilateral small renal cysts and sacral dural ectasia on axial images. Abnormal left ribs on plain film
Case Discussion
The findings are in keeping with systemic affection rather than isolated aneurysm. Possibilities include neurofibromatosis and less likely Marfan's syndrome.