Arterial phase contrast enhanced scans performed.
Aortic dissection with intimal flap noted in the thoracic aorta commencing just distal to the subclavian artery branch point extending down to the T10 level. The maximum transverse diameter measures 57 mm just distal to the subclavian artery branch point. No mediastinal haematoma or pericardial effusion is demonstrated.
Mild cardiomegaly. Biapical blebs. No pneumothorax demonstrated. Lingular and bibasal atelectasis. No pleural effusion. No abnormality in the anterior chest wall identified, despite the history of left mid-clavicular line stabbing. No bony injury identified. Within the limitations of the study imaged upper abdominal viscera are unremarkable.
Type B aortic dissection with intimal flap seen extending to the T10 level.
Treating Doctor informed at the time of reporting.