Thoracic aortic aneurysm

Case contributed by Henry Knipe


Cough and right lower zone crackles ? pneumonia or pleural effusion.

Patient Data

Age: 70 years
Gender: Male

Widening of descending thoracic aorta shadow. Abdominal aorta stent graft partially imaged. Stable left lower zone atelectasis. No focal consolidation to suggest pneumonia. Heart size is normal.


Previous sternotomy and coronary artery graft surgery. Grafts appear densely calcified of the native coronary vessels.

5.4 x 5.7 cm proximal descending thoracic aortic aneurysm.

Mild cardiomegaly and anemia.

Case Discussion

  • thoracic aortic aneurysms are less common than AAA
  • descending thoracic aorta is the second most common location (after ascending aorta)
  • there is a wide range of causes

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.