PMC7684546_01
Chest x-ray. (A) Chest x-ray done on 19 March 2020 showing a nonhomogenous opacity in the right lower lung. (B) Chest x-ray done on 6 October 2019 showing opacity at the cardiac region, suggestive of aneurysmal dilatation of the aorta with a rim of calcification.
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COVID-19 [Tables 2 and 3]. Chest x-ray showed right-sided lung consolidation, with a similar mediastinum measurement to a previous chest x-ray in October 2019 at Hamad General Hospital for thoracoabdominal aortic aneurysm [Figure 1].
(A) CTPA showing an aortic dissection involving the root of the aorta extending to the arch of the aorta and right common carotid artery. (B) CTPA showing consolidative opacities in the right middle and lower lobes, (C) ECG-gated CT thorax showing the aortic dissection arising from the root of the aorta and involving the arch of the aorta with a dissection flap extending into the common carotid artery.
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Upon reviewing the patient chart in the electronic medical record, we found a report of CTPA (reported at 20:51 hrs) mentioning a dissection of the ascending aorta extending from the root of aorta to the right common carotid artery and a consolidative patch in the right middle and lower lobes of the lungs [Figure 2]. The ECG-gated CT thorax was reported at 03:51 hrs on 20 March 2020 as a Stanford type A dissection, which is a new finding compared to previous CT during admission to the hospital in October 2019 [Figure 2].