Aneurysmal dilatation of aortic annulus and ascending aorta are seen measuring up to 6.0 x 6.4 cm (APxW). Intimal dissection flap is seen involving the ascending aorta just above the aortic root and the left ventricular outflow tract (LVOT) and spiralling across the entire ascending aorta, aortic arch and descending aorta down to the right common iliac artery. No extension of intimal dissection flaps into the common carotid arteries and left subclavian arteries.
No gross abnormality or dilatation related to coronary arteries. No pericardial haematoma/collection. No evidence of periaortic leakage or collections.
Aortic arch measures 4.3 cm, descending thoracic aorta measures 3.3 cm, abdominal aorta measures 2.9 cm. Normal coeliac trunk, superior mesenteric artery and bilateral renal arteries which arise from true lumen.
Cardiomegaly. No mediastinal mass.
Atelectatic changes in bilateral lower lobes, worst on the right side.
No pleural effusion or hemothorax.
Large simple renal cyst at the lower pole of the left kidney measuring 5.3 x 5.3 cm (AP x W).