Renal infarct secondary to aortic dissection
50 year old male patient, hypertensive presented with abdominal pain and hematuria.
CECT -Thorax and Abdomen
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Axial post contrast CT study in arterial phase showing ascending aortic aneurysm (AP diameter of 6 cm). Dissection involving ascending aorta, descending thoracic and abdominal aorta (Stanford type A & De Bakey type 1) extending to the level of origin of inferior mesenteric artery is noted. Wedge shaped, cortical based non enhancing areas noted in portal venous phase involving bilateral kidneys with enhancing peripheral rim of cortical parenchyma suggestive of renal infarcts.