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Fig. 3 | Insights into Imaging

Fig. 3

From: Chest CT examinations in patients presenting with acute chest pain: a pictorial review

Fig. 3

A 58-year-old woman presented with intermittent episodes of atypical, acute chest pain/ epigastric pain and night sweats. In an earlier episode (elsewhere) she had received gastroscopy and a CT scan of the abdomen that showed no abnormalities. At our hospital, blood was drawn that showed anaemia with a haemoglobin level of 5.1 mmol/L. A CT was performed under suspicion of malignancy. (a) Contrast enhanced axial CT shows a thickened aortic wall (arrow), consistent with large vessel vasculitis. Biopsy of the temporal artery proved temporal arteritis, consistent with the diagnosis of giant-cell arteritis. Pericardial effusion was also present (not shown). (b) Sagittal curved reformat of a contrast enhanced CT in a patient with known Takayasu arteritis, showing wall thickening (solid arrows) and an aneurysm of the ascending and descending aorta (dashed arrows)

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