Thoracic aortic aneurysm

Case contributed by Omar Bashir
Diagnosis almost certain

Presentation

Incidental finding on a chest radiograph

Patient Data

Age: 75
Gender: Male
x-ray

Chest radiograph demonstrates a large aneurysm of the thoracic aorta. Note the deviation of the trachea to the right. Contrast enhanced CT of the aorta confirms the radiographic findings and shows the extent of the aneurysm , as it involves the entire thoracic aorta as well as the abdominal aorta. A small right pleural effusion is also noted.

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