Presentation
Multiple falls.
Patient Data
Age: 85
Gender: Male
From the case:
Aortic dissection - Stanford type A
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Lungs and pleural spaces are clear. Prominent calcified right cardiomediastinal border. Heart size is enlarged even allowing for projection. Thoracic scoliosis. Sternotomy wires noted.
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Type A aortic dissection is present, which arises adjcaent to the a calcified aortic valve. It has a chronic appearance - the wall is calcified and contains a variable amount of mural thormbus. The dissection is limited to the ascending aorta.
Case Discussion
This case demonstrates two important factors when reporting - the clinical details are often brief and may not contain the relevant information and reviewing previous imaging is essential (and may even make you look clever).
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