Aortic dissection: DeBakey type 2
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Aortic dissection of the ascending aorta. Moderate to large haemopericardium. The great vessels arise from the true lumen.
Remainder of the arch and descending aorta again demonstrate periaortic soft tissue consistent with thrombosed false lumen.
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This aortic dissection is essentially limited to the ascending aorta making it a DeBakey type 2 / Stanford type A.