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Resolving Type A Intramural Hematoma

Imaging findings

Soft tissue encasing the pulmonary artery and ascending aorta, representing hemorrhage (Type A intramural hematoma) with a small intimal tear.

Key takeaways

Intramural hematomas can show clinical improvement without immediate surgery. Serial imaging showed resolution of the hemorrhage and hematoma over time, confirming that some limited dissections can be managed conservatively.

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