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Elongated Brachiocephalic Artery

Imaging findings

An elongated, tortuous right brachiocephalic artery causing an apical opacity ("pseudo-proto") on chest radiographs.

Key takeaways

Acquired tortuosity and elongation of the aorta can push the brachiocephalic artery into an abnormal course, which indents the lung and creates a radiographic opacity that may be mistaken for a mass.

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