Reason: aortic dissection History: incidental abnormal ct with aortic abnormality with question of thrombus vs dissection LUNGS AND PLEURA: Probable bibasilar atelectasis.MEDIASTINUM AND HILA: The ascending aorta is mildly ectatic measuring up to 4.1 cm in diameter. There is no evidence of aortic dissection or suggestion of intramural thrombus is stated in the clinical history. Heart size is normal. There is no pericardial effusion.CHEST WALL: T2 lobulated hyperintense lesion superior to the left clavicle best seen on image 15 of series #2 measuring approximately 2.6 x 1.2 cm, possibly a small fluid collection, cyst, or lymphangioma.UPPER ABDOMEN: Numerous hepatic cysts and a left upper pole renal cyst are noted.
No evidence of aortic dissection.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.