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Right sided aortic arch

Case contributed by Alberto Nania
Diagnosis almost certain

Presentation

Breathlessness ? pneumonia

Patient Data

Age: 90 years
Gender: Female
x-ray

Aortic arch is located in the right superior mediastinum in keeping with right sided aortic arch, anatomical variant. Even allowing for projection, the heart is enlarged.

Case Discussion

Right sided aortic arch is an anatomical variant, it is important to recognize it as non-pathological and not to be confused with a mediastinal mass.

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