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Insights into Imaging
Fig. 5 | Insights into Imaging

Fig. 5

From: A pictorial review of acute aortic syndrome: discriminating and overlapping features as revealed by ECG-gated multidetector-row CT angiography

Fig. 5

Resolved tiny primary intimal tear of dissection variant IMH in a 68-year-old woman with hypertension who presented with unstable thoracoabdominal pain. a Non-contrast CT image shows a crescent-shaped high-density area in the descending aorta (arrowhead). b Slab MIP image demonstrates haematoma extending through the whole thoracic descending aorta, which consists of dissection variant IMH. A tiny PIT is detected at the distal end of the haematoma (arrow). c The patient was followed with stable limited chest pain. After 7-day follow-up, the PIT resolved spontaneously, leaving a slightly enlarged haematoma (arrow). The patient was treated conservatively, and the haematoma eventually resolved

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