Aortic aneurysm with thrombosis
Chronic hypertension and cough.
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CT angiography shows the ascending and descending aortic aneurysm with some mural lesion and circumferential mural thrombosis and atherosclerosis.
Thoracic aortic aneurysms are relatively uncommon compared to abdominal aortic aneurysms. There is a wide range of causes and the ascending aorta is most commonly affected. CTA and MRA are the modalities of choice to image this condition.