PMC5380773_01
Axial image of computed tomography angiography (CTA) - marker on thickening of aortic wall.
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It showed parenchymal consolidation, enlarged paratracheal and para-aortic lymph nodes and thickening of walls of the ascending aorta, aortic arch and its branches (Fig. 1).
Doppler ultrasonography of affected vessels. A) Evident, smooth thickening of the common carotid artery wall, particuraly in the birurcation (up to 2.8 mm). B) Stenosis of the left sublavian artery. Courtesy of Rafal Malecki, MD, PhD.
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Doppler ultrasonography revealed significant thickening of the walls of the common carotid arteries (CCA) on both sides (Fig. 2) and critical stenosis of the left subclavian artery and slighter stenosis of the right one.
Magnetic resonance after contrast: Coronal image of paraspinal soft tissue tumor.
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The image suggested inflammatory infiltration, probably of autoimmune etiology (Fig. 3).
Coronal reconstruction of computed tomography angiography (CTA): stenosis of subclavian artery.
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Because of critical stenosis of the left subclavian artery and arm claudication angio-CT was performed (Fig. 4) and the patient was qualified for angiosurgical treatment.