CTICasesAortic Hematoma and Mimicry
Imaging findings
Mediastinal hematoma with fluid in the superior pericardial recess, initially mistaken for a Type A Intramural Hematoma (IMH).
Key takeaways
Differentiating mediastinal blood from true IMH is critical; the presence of fluid in the pericardial recesses can help identify that the hematoma is not an extension of an aortic wall process.
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