PMC8597386_01
Computed tomography of chest and abdomen: (A) Dilated aortic arch with IMH; (B) Dilated abdominal aorta with IMH. IMH: Intramural hematoma
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F1
Computed tomography with sagittal reconstruction showing extensive aortic arch and descending aorta hematoma, with displacement of intimal calcifications (arrows)
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F2
A and B; Figure 2). Inward displacement of intimal calcifications was noted and no evidence of intima tear, dissection flap, or penetrating ulcers was present at the time of the CT examination. Also, there was no aortic regurgitation or pericardial effusion on transthoracic echocardiography.
Magnetic resonance imaging of the thoracolumbar spine
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F3
MRI excluded acute disc herniation, epidural hematoma and other etiologies that could explain the symptomatology (Figure 3).