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What is being described here? Mgmt? "A chest computed tomography (CT) demonstrates a crescentic, high attenuation area measuring approximately 3 mm in diameter in the posterior ascending aorta that does not enhance with contrast. There is no involvement of the great vessels or the aortic arch. There is no evidence of an intimal flap or compression"?

User Anca
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Final answer:

A CT scan has revealed a crescentic, high attenuation area in the posterior ascending aorta, suggesting a vascular abnormality without evidence of aortic dissection or involvement of adjacent vessels. Further clinical data would be needed for a definitive diagnosis.

Step-by-step explanation:

The question is describing a finding on a chest computed tomography (CT) scan that involves the initial portion of the aorta, specifically the posterior ascending aorta. The aorta is a major blood vessel that rises superiorly from the left ventricle for a distance of approximately 5 cm and has distinct regions such as the ascending aorta, aortic arch, and descending aorta which includes thoracic and abdominal regions.

In the CT scan mentioned, a crescentic, high attenuation area of 3 mm in diameter that does not enhance with contrast is identified. This could suggest a variety of conditions, but the absence of an intimal flap or compression rules out aortic dissection. The lack of great vessel or aortic arch involvement further narrows down the potential conditions. More information, possibly including clinical history and additional imaging or tests, would likely be necessary to refine the diagnosis.

User Prashant Gupta
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