Demographics:
66 years old, Female
Indication:
Followup after aortic aneurysm repair
Findings
Vascular
- Partially imaged surgical changes of graft repair of a thoracoabdominal aortic aneurysm with a small amount of intramural contrast leakage medially at the proximal anastomosis in the distal descending thoracic aorta
- No aneurysmal dilation of the aorta proximal to the graft
- Aortic atherosclerosis without dissection or significant stenosis
- Partially imaged celiac artery and SMA grafts, which are patent proximally
- Moderate coronary artery calcification
- Aortic annular calcification
Nonvascular
- Mild dependent atelectasis/scarring in the left lower lobe
- Small left pleural effusion
- Moderate centrilobular emphysema
- Intermediate density collection in the left posterior chest wall along the inferior margin of the scapula, likely a small hematoma
Diagnosis
Aortic endoleak
Sample Report
Partially imaged changes of graft repair of a thoracoabdominal aortic aneurysm with findings concerning for type 1A endoleak.
Discussion