EURORAD ESR

Case 9938

Thoracic aortic aneurysm

Author(s)
Ip J1, A, Leitão J2, B, Duarte I1, B, Távora I2, B

(1) - Instituto Português de Oncologia de Lisboa, Portugal
(2) - Hospital de Santa Maria-CHLN, Portugal
(A) Radiology Resident
(B) Radiology Consultant

Instituto Portugues Oncologia de Lisboa,
IPOLFG, Radiologia;
Email:joana_fs@hotmail.com
 
Patient
female, 88 year(s)
 
 
  • Figure 1
    Chest plain film
     

    2011 - Mediastinal enlargement is better noticed and confirmation was depicted on the lateral view.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    2011 - Mediastinal enlargement is better noticed and confirmation was depicted on the lateral view.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    2009 - Chest plain radiograph performed two years before showed a little mediastinal enlargement on the left-hand side.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    CT with IV contrast mediastinal window
     

    CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 3
    CT with IV contrast oblique reformats
     

    This view shows a mural thrombus with a thick wall protruding in saccular fashion to the left-hand-side of the mediastinum.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    This view shows a mural thrombus with a thick wall protruding in saccular fashion to the left-hand-side of the mediastinum.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Aneurysms;
     
     
  • Figure 4
    Volume rendering technique
     

    VRT- Thoracic and abdominal aorta, showing aneurym of the descending thoracic segment.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Aneurysms;

    VRT- Thoracic and abdominal aorta, showing aneurym of the descending thoracic segment.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Aneurysms;
     
     
2011 - Mediastinal enlargement is better noticed and confirmation was depicted on the lateral view.
 
2011 - Mediastinal enlargement is better noticed and confirmation was depicted on the lateral view.
 
2009 - Chest plain radiograph performed two years before showed a little mediastinal enlargement on the left-hand side.
 
CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
CT demontrasted mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
CT demonstrated mural thrombus on the walls of both the aortic arch and descending segment of the thoracic aorta.
 
This view shows a mural thrombus with a thick wall protruding in saccular fashion to the left-hand-side of the mediastinum.
 
This view shows a mural thrombus with a thick wall protruding in saccular fashion to the left-hand-side of the mediastinum.
 
VRT- Thoracic and abdominal aorta, showing aneurym of the descending thoracic segment.
 
VRT- Thoracic and abdominal aorta, showing aneurym of the descending thoracic segment.
 
 
 
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