Calcified abdominal aortic aneurysm on pelvic radiograph
Lower back and pelvic pain for 2 weeks. No history of trauma.
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Degenerative changes of both hips. No fracture or mal-alignment. SI joints are normal.
Projected over the lower lumbar vertebrae, the abdominal aorta is calcified and aneurysmal.
This pelvic X-ray lead to a multiphase CT of the abdomen and pelvis, demonstrating a large infrarenal AAA but without signs of impeding rupture. The patient went on to have an elective EVAR which eased the pain and the patient recovered well.