PMC4942518_01
ECG demonstrating normal sinus rhythm at 86 bpm. No other significant abnormalities were noted.
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F0001
Initial EKG showed normal sinus rhythm at 86 bpm, normal axis with no evidence of ST elevation or depression (Fig. 1).
CT angiogram of chest with contrast (a) transaxial and (b) coronal planes demonstrating a penetrating atherosclerotic aortic ulcer (blue arrow) with a mural hematoma approximately 2.3 cm in the largest transverse diameter and 1.25 cm in the largest thickness (blue arrow).
JCHIMP-6-31506-g002.jpg
PMC4942518_01_JCHIMP-6-31506-g002.jpg
F0002
CT angiogram of the chest with contrast (CTA) was obtained, which showed a protrusion of the medial wall of the descending thoracic aorta into a thickened aortic wall indicative of a penetrating atherosclerotic ulcer with IMH (Fig. 2a, b).