Chest pain. Evaluate for dissection. LUNGS AND PLEURA: No focal consolidation or pleural effusion. MEDIASTINUM AND HILA: Image quality is limited by artifact overlying the aorta on 3D MRA and contrast enhanced MRA sequences, making detailed evaluation of the aorta difficult. There is no convincing focal evidence of aortic dissection. The right innominate and left common carotid arteries arise from a common trunk from the aorta. Caliber of the great vessels is normal. Heart size is upper limits of normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No convincing evidence of aortic dissection with the limitations detailed above.