Aortic dissection with intimal flap involving the whole aorta (Stanford type A, DeBakey type I) down to the left CIA with the other aortic branches arising from the true lumen, non-thrombosed false lumen and no extra-aortic leak.

(The case is courtesy of Dr. Ahmad Yousry, MD and Dr. Mohammed A. ElBeialy, MD, FRCR)