File:Aortic intramural hematoma from penetrating atherosclerotic ulcer (Radiopaedia 31137-31836 C 26).jpg

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Summary:

Description	Radiopaedia case ID: 31137 Image ID: 8363798 Image stack position: 26/75 Plane projection: Coronal Aux modality: C+ arterial phase Modality: CT System: Vascular Findings: An abnormal appearance of the aortic arch is demonstrated, characterized by a 2 cm amorphous " blob" of contrast present within the dorsal aortic wall approximately 3.5 cm distal to the origin of the left subclavian artery.The descending aorta also has an abnormal appearance, with crescentic wall thickening. The calcified intima which is atheromatous and irregular is displaced inwardly by this wall thickening. A protuberant atheromatous plaque is noted within the descending aorta. The intimal displacement and mural thickening extends to the level of the renal arteries. The arch branches are unaffected. This appearance, in the current clinical setting is highly suspicious for the presence of an acute intramural hematoma, presumably secondary to active intimal penetration of the aortic arch.
Date	Published: 22nd Sep 2014
Source	https://radiopaedia.org/cases/aortic-intramural-haematoma-from-penetrating-atherosclerotic-ulcer
Author	RMH Core Conditions
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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current	05:16, 18 May 2021		512 × 512 (27 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:31137 (batch #2524-184 C26)

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