Reason: Patient with newly diagnosed Marfan Syndrome. normal aortic root by ECHO. needs full aortic evaluation prior planned pregnancy. History: ectopia lentis, pathological fibrillin mutation CHEST:Mediastinum: Heart size is normal with no pericardial effusion. No lymphadenopathy.Vasculature: No thoracic aortic dissection or aneurysm. Orthogonal (double oblique) Measurements:Sinus of Valsalva: 2.7 x 2.7 x 2.3 cmSinotubular Junction: 2.4 x 2.4 cmProximal aortic arch: 1.8 x 20 cmDistal transverse aortic arch: 1.6 x 1.6 cmMid descending thoracic aorta: 1.3 x 1.4 cmdistal descending thoracic aorta: 1.3 x 1.3 cmUPPER ABDOMEN: There caliber of the origin of the celiac artery appears slightly decreased compared to the proximal celiac artery.
No thoracic aortic dissection or aneurysm.Contrast extravasation description:Supervising radiologist: Dr. Stephanie McCannContrast type: 15 cc of Multihance were administered. Signs and symptoms: Itchiness in patient's throat and eyes. Patient sneezed 3 times. No shortness of breath, neurological symptoms, or hypotension. Patient had an MRI with contrast at Northwestern Hospital without any reaction. Patient stated she "felt OK" and wanted to finish the exam. Patient's husband will drive her home.Treatment given: 50 mg p.o. BenadrylDischarge instructions given: Yes