Presentation
Sudden onset of dull chest pain radiating to the back.
Patient Data
Marked widening of mediastinum, which measures 12.5 cm ( normal range is between 6 to 8cm).
Cardiomegaly.
No pleural effusion or abnormal lung consolidation.
Aneurysmal dilatation of aortic annulus and ascending aorta are seen measuring up to 6.0 x 6.4 cm (APxW). Intimal dissection flap is seen involving the ascending aorta just above the aortic root and the left ventricular outflow tract (LVOT) and spiralling across the entire ascending aorta, aortic arch and descending aorta down to the right common iliac artery. No extension of intimal dissection flaps into the common carotid arteries and left subclavian arteries.
No gross abnormality or dilatation related to coronary arteries. No pericardial hematoma/collection. No evidence of periaortic leakage or collections.
Aortic arch measures 4.3 cm, descending thoracic aorta measures 3.3 cm, abdominal aorta measures 2.9 cm. Normal celiac trunk, superior mesenteric artery and bilateral renal arteries which arise from true lumen.
Cardiomegaly. No mediastinal mass.
Atelectatic changes in bilateral lower lobes, worst on the right side.
No pleural effusion or hemothorax.
Large simple renal cyst at the lower pole of the left kidney measuring 5.3 x 5.3 cm (AP x W).
Annotated images to show the true and false lumens within the aorta. Differentiation between the true and false lumens are sometimes challenging.
Unable to process the form. Check for errors and try again.