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Aortic Dissection Pitfalls

Imaging findings

Various cases of missed aortic dissections on routine PE studies; one case showed contrast only in the distal aorta due to timing bolus remnants.

Key takeaways

Timing PE studies off the left atrium is highly recommended to ensure adequate visualization of the thoracic aorta and prevent missing dissections that may masquerade as pulmonary issues.

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