PMC3258019_01
AoD diagnostic algorithm.. Reprinted with Permission, Circulation. 2010;121:e266-e369  2010 American Heart Association, Inc. For the official algorithm, please see Hiratzka.. Abbreviations: ACS, acute coronary syndrome; AoD, aortic dissection; CT, computed tomography; MRI, magnetic resonance imaging; CXR, chest X-ray.
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The first chest X-ray was read as normal by the radiologist except for cardiomegaly (Figure 1).
Antero-posterior chest X-ray of our patient at his initial presentation.
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A few hours later, the patient had increasing shortness of breath and a second chest X-ray showed mild bilateral pleural effusions (Figure 2).