Abdominal aortic aneurysm

Case contributed by Dr Ian Bickle

Presentation

Right-sided renal colic. AXR to assess for a renal tract stone.

Patient Data

Age: 75 years
Gender: Male
X-ray

Saccular curvilinear density in the left paramidline position at the L3-L4 level.

It is non-osseous in nature.

Case Discussion

An abdominal aortic aneurysm (AAA) can often be incidentally identified on x-ray due to the curvilinear calcification of the aneurysm wall.

This was a proven infra-renal AAA on subsequent CT imaging.

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