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Aortic and bone involvement in Erdheim-Chester disease

Imaging findings

CT demonstrates diffuse wall thickening and calcification of the thoracic and abdominal aorta in a 30-year-old female. Scout views and radiographs show characteristic, symmetric cortical osteosclerosis of the long bones.

Key takeaways

Erdheim-Chester disease is a non-Langerhans cell histiocytosis that can cause circumferential infiltration of the aortic wall ('coated aorta'). Finding symmetric metadiaphyseal sclerosis of the long bones on plain films is key to differentiating it from other causes of aortitis.

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