Presentation
Recent vehicular accident
Patient Data
Age: 50 years
Gender: Female
From the case:
Minimal aortic injury
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Axial C+ arterial phase

There is a small linear filling defect, representing an intimal flap (intimal tear), at the inferior wall of the aortic isthmus.
From the case:
Minimal aortic injury
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Red arrow highlights the position of the intimal flap at the aortic isthmus.
Case Discussion
With a history of recent trauma, the imaging finding is consistent with minimal aortic injury. This finding can easily be missed without multiplanar reconstructions.