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Post-traumatic aortic pseudoaneurysm

Imaging findings

Chest radiograph and CT show a persistent, stable, focal outpouching at the aortic isthmus with a visible abnormal AP window interface, in a patient with a history of severe trauma two years prior.

Key takeaways

A chronic post-traumatic aortic pseudoaneurysm at the isthmus represents a healed or contained partial aortic tear. If stable on serial imaging over years, it may be managed conservatively with close surveillance.

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