PMC5519467_01
Chest radiograph showing cardiac enlargement and a widened mediastinum.
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C-reactive protein. Chest radiography showed heart enlargement and a widened mediastinum (Fig. 1).
Chest and neck computed tomography revealed an area of low attenuation in the pericardium, indicating cardiac effusion (arrowheads), and continuous weak high-attenuation areas in the walls of major arteries, ranging from the ascending aorta to the proximal aortic arch, brachiocephalic artery and left common carotid artery (arrows).
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Thus, an acute aortic dissection of Stanford type A was diagnosed (Fig. 2).