EURORAD ESR

Case 13169

Syphilitic aortitis

Author(s)
Antunes, N.; Serrado, M. ; Santos, R. ; Fernandes, O.; Figueiredo, L.

Hospital Santa Marta, Centro Hospitalar Lisboa Central, Departamento Radiologia; Rua Santa Marta 1050 Lisboa, Portugal; Email:nhantunes@hotmail.com
 
Patient
male, 62 year(s)
 
 
  • Figure 1
    Thoracic CT

    Axial section on mediastinal window of Thoracic CT demonstrates irregularity of the aortic wall associated with marked dilatation of the aortic caliber.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 2
    Contrast-enhanced Thoracic CT

    Thoracic Angio-CT (axial section on mediastinal window) shows irregular aortic wall thickening with soft-tissue accumulation owing to the chronic inflammatory process.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 3
    Contrast-enhanced Thoracic CT

    Thoracic Angio-CT (axial section on mediastinal window) revealed aneurysmatic dilatation of the ascending aorta and the proximal thoracic descending aorta associated with a mural thrombus at the posterior wall.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 4
    Contrast-enhanced Thoracic CT

    Contrast-enhanced Thoracic CT (axial section on mediastinal window) also revealed the extension of the diffuse ulcerated pattern to the brachiocephalic trunk.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 5
    Volume Rendering Image

    3D Volume Rendering Image displaying the irregular thoracic aortic contours and tortuosity owing to the diffuse foci of fibrosis due to inflammation of the vasa vasorum.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 6
    Contrast-enhanced Thoracic CT MIP

    Coronal plane thoracic angio-CT MIP showing the ascending aortic aneurysm, the extension of the disease to the brachiocephalic trunk and the mural thrombus at the aortic arch.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 7
    Contrast-enhanced Thoracic CT MIP

    The chronic inflammatory process leads to irregular aortic wall distortion, with thickening and fibrosis, which ultimately weaken its structure, resulting in aneurysm formation; all of which can be appreciated in this...

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Education; Special Focus: Infection;
     
     
Axial section on mediastinal window of Thoracic CT demonstrates irregularity of the aortic wall associated with marked dilatation of the aortic caliber.
 
Thoracic Angio-CT (axial section on mediastinal window) shows irregular aortic wall thickening with soft-tissue accumulation owing to the chronic inflammatory process.
 
Thoracic Angio-CT (axial section on mediastinal window) revealed aneurysmatic dilatation of the ascending aorta and the proximal thoracic descending aorta associated with a mural thrombus at the posterior wall.
 
Contrast-enhanced Thoracic CT (axial section on mediastinal window) also revealed the extension of the diffuse ulcerated pattern to the brachiocephalic trunk.
 
3D Volume Rendering Image displaying the irregular thoracic aortic contours and tortuosity owing to the diffuse foci of fibrosis due to inflammation of the vasa vasorum.
 
Coronal plane thoracic angio-CT MIP showing the ascending aortic aneurysm, the extension of the disease to the brachiocephalic trunk and the mural thrombus at the aortic arch.
 
The chronic inflammatory process leads to irregular aortic wall distortion, with thickening and fibrosis, which ultimately weaken its structure, resulting in aneurysm formation; all of which can be appreciated in this image.
 
 
 
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