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March 2005

By Theodore E . Keats, MD

 
  
 

This 72-year-old man complains of chest pain. What is your interpretation of these portable frontal and lateral projections of his chest?

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ANSWER


The correct diagnosis is aneurysm of the thoracic aorta, including the aortic arch and descending aorta. Note the thin rim of calcification in the wall of the aorta. 


 

This series of diagnostic quizzes that challenge your ability to read a variety of x-ray films is edited by Dr. Keats, alumni professor of radiology at the University of Virginia School of Medicine in Charlottesville.

Emerg Med 37(4):53, 2005  



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