Reason: history of vasculitis History: occasional CP CHEST:LUNGS AND PLEURA: Grossly unremarkable.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedMR ANGIOGRAPHY: Mild circumferential wall thickening involving the ascending aorta, arch, descending aorta and abdominal aorta with shallow ulcerations are unchanged. The aorta is normal in caliber throughout. The ascending aorta measures 28 mm in diameter, unchanged.There is a common origin of the innominate and left common carotid arteries.There is a high-grade focal stenosis at the ostium of the left subclavian artery with poststenotic dilatation to 7 mm, similar to the prior exam. Smooth narrowing at the origin of the right subclavian artery appear similar to the prior exam. The common carotid arteries appear normal.There is high-grade stenosis at the origin of the celiac artery measuring 7 mm in length with 6 mm poststenotic dilatation, similar to the prior exam. The SMA is patent. The renal arteries are patent.Focal thrombosed dissection inferior to the origin of SMA is unchanged. Iliac arteries are not within the field of view on this study.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. High-grade narrowing at the origins of the left subclavian and celiac arteries are unchanged since the prior exam.2.Circumferential wall thickening of the thoracic and abdominal aorta is unchanged.