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Chest radiograph of an asymptomatic 68-year-old woman whose medical history and physical examination were unremarkable.
On close inspection, the distance between a calcified plaque in this patient’s aortic arch and the outer edge of the archwas 2 cm (normal,<1 cm), suggesting dissection. Contrast-enhanced CT scan of the chest (image below) confirmed the diagnosis by demonstrating a true andfalse lumen separated by an intimal flap (arrow).
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