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Fig. 7 | Insights into Imaging

Fig. 7

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

Fig. 7

Penetrating atherosclerotic ulcer with haemorrhagic content in a 74-year-old man. a Non-contrast CT shows intramural haemorrhagic content (arrow) in the descending aorta. Note the thick calcification and plaque on the aortic wall (*), suggesting an atherosclerotic background of the patient. b Axial ECG-gated CTA demonstrates the ulcerative lesion at the proximal ascending aorta (arrowhead) into the aortic media, which shows associated haemorrhage. c 3D-VR image depicts the crater-like ulceration (arrowhead) and atherosclerotic calcification (*) on the aortic arch. Some non-penetrating atherosclerotic ulcers are also identified (arrows). The condition is considered as an overlapping feature between IMH (in the broad sense) and penetrating atherosclerotic ulcer

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