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Ruptured Thoracic Aortic Aneurysm

Imaging findings

Unilateral pleural effusion (high attenuation) in a hypotensive patient. CT showing loss of aortic wall integrity and periaortic fluid.

Key takeaways

When performing CT for suspected PE in unstable patients, optimize contrast timing (e.g., triggering in the left atrium) to better visualize the aorta.

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