Aortic aneurysm on chest radiograph

Case contributed by Dr Craig Hacking

Presentation

Pre-op CXR.

Patient Data

Age: 70 years
Gender: Female

Right-sided PICC in situ with tip projected within the SVC. The known large fusiform descending thoracic aortic aneurysm is again seen. Vascular calcification of the aortic arch is noted. The lungs and pleural spaces are clear. Cardiothoracic ratio is normal.

CT

Pre TEVAR CT

Large bilobed fusiform descending thoracic aortic aneurysm. No evidence of rupture or dissection. Mural thrombus present through the abdominal aorta with multiple calcified atheromatous plaques.

Case Discussion

Nice example of the CXR appearances of aortic aneurysm.

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Case information

rID: 65260
Published: 2nd Jan 2019
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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