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Syphilitic Aortitis

Imaging findings

Circumferential wall thickening of the ascending aorta and saccular aneurysm morphology without significant atherosclerosis in the arch or branch vessels.

Key takeaways

Syphilitic aortitis should be considered when there is calcification and dilatation primarily affecting the ascending aorta that appears out of proportion to disease in the descending aorta.

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