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Insights into Imaging
Fig. 6 | Insights into Imaging

Fig. 6

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

Fig. 6

Limited intimal tear with intramural haemorrhagic content in a 48-year-old male. a Non-contrast CT demonstrates the aortic wall thickening with haemorrhagic content (arrow) at the proximal aortic arch. b Contrast-enhanced CTA demonstrates the aortic wall thickening (arrow) without clear intimal-medial flap or false lumen visualized; this was initially diagnosed as traditional IMH. c Slab-MIP image demonstrates the ‘eccentric one-sided bulge’ of the aortic wall along the ascending aorta (arrowheads). d 3D-VR luminal image right in front of the bulge shows a teardrop-shaped intimal tear (dotted line) with a localized intimal flap (black arrows) at the inferior border of the intimal tear

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