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  • Traumatic Aortic Injury On CXR: Mediastinal Widening Specific Findings

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    Brian
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    This document discusses signs of traumatic aortic injury on a chest x-ray. It identifies mediastinal widening and specific findings like a right paratracheal density equal or greater than the aortic arch or loss of the aortic arch definition as indicators. It notes that most aortic injuries occur at the aortic isthmus and can be seen via abnormal aortic contours, a sudden change in the aorta's caliber, or extravasation of contrast during imaging. The most important factor is understanding if the patient has a history of trauma.

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    Traumatic Aortic Injury ICC

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    This document discusses signs of traumatic aortic injury on a chest x-ray. It identifies mediastinal widening and specific findings like a right paratracheal density equal or greater than the aortic arch or loss of the aortic arch definition as indicators. It notes that most aortic injuries occur at the aortic isthmus and can be seen via abnormal aortic contours, a sudden change in the aorta's caliber, or extravasation of contrast during imaging. The most important factor is understanding if the patient has a history of trauma.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views3 pages

    Traumatic Aortic Injury On CXR: Mediastinal Widening Specific Findings

    Uploaded by

    Brian
    This document discusses signs of traumatic aortic injury on a chest x-ray. It identifies mediastinal widening and specific findings like a right paratracheal density equal or greater than the aortic arch or loss of the aortic arch definition as indicators. It notes that most aortic injuries occur at the aortic isthmus and can be seen via abnormal aortic contours, a sudden change in the aorta's caliber, or extravasation of contrast during imaging. The most important factor is understanding if the patient has a history of trauma.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 3

    Traumatic Aortic Injury on CXR

     Mediastinal widening
     Specific findings:
     Right paratracheal density equal or greater
    density than the aortic arch
     Loss of the aortic arch definition
     Left apical cap
     Right paratracheal density equal or greater density
    than the aortic arch
     Loss of the aortic arch definition
     Left apical cap

     Most important puzzle piece is the history of


    trauma.
    Traumatic Aortic Injury
     Most injuries occur at the aortic isthmus
    (proximal descending aorta, just distal to the
    origin of the left subclavian artery).
     Direct findings:
     Abnormal aortic contours
     Sudden change in caliber of the aorta
     Extravasation of contrast, indicating
    significant injury.

    ABCs
    • ABnormal Contour
    • ABrupt Caliber
    • ABnormal Contrast
    https://radiopaedia.org/articles/aortic-isthmus?lang=us

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