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Aortic Pseudoaneurysm

Imaging findings

A retroperitoneal mass read as lymphoma showed avid uptake on PET but was ultimately identified as a vascular pseudoaneurysm after an unsafe biopsy.

Key takeaways

Never biopsy a mediastinal or retroperitoneal mass that might be vascular without contrast-enhanced imaging. Signs of aortic wall discontinuity should immediately raise suspicion for a pseudoaneurysm.

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