History of a type I aortic dissection status post repair. CHEST:LUNGS AND PLEURA: No gross abnormality.MEDIASTINUM AND HILA: Postsurgical changes from a type A aortic dissection repair. The dissection flap extends into the left subclavian, proximal left common carotid and right brachiocephalic arteries, appearing similar in extent compared to the prior study. The aortic root measures 4.8 cm in AP dimension (series 1401/35), unchanged.The ascending aorta measures approximately 3.1 cm in AP dimension.The descending aorta measures 4.4 cm in AP dimension, unchanged. The abdominal aorta measures 3.5 cm in AP dimension, compared to 3.1 cm previously.The celiac, superior mesenteric and right renal arteries appear to arise from the true lumen. The left renal and inferior mesenteric arteries appear to arise from the false lumen. CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Probable subcentimeter hepatic cysts. No focal suspicious liver lesions. No biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy. See above for discussion of the aorta.BOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
No significant change in type A aortic dissection status post repair.