Spontaneous Epidural hematoma can mimic aortic dissection symptom and can be easily missed. скачать в хорошем качестве

Spontaneous Epidural hematoma can mimic aortic dissection symptom and can be easily missed.

69 year old female on dialysis. back pain radiating to her neck , worse with movement. Onset suddenly one hour prior to arrival while she was sitting watching TV. Diarrhea, nausea and numbness in her feet. No chest pain. Transient arm numbness. Rule out Dissection of aorta. IMPRESSION: 1. Diffuse atherosclerotic disease. 2. No evidence for thoracic or abdominal aortic aneurysm or ectasia. No evidence for mediastinal or retroperitoneal hematomas. 3. No acute osseous injury. Moderate to severe degenerative changes of the spine. 4. No acute findings in the abdomen/pelvis within limits of a noncontrast exam. 5. No obstructing calyceal calculi in the transplant kidney. 6. Clear lungs. 7. Incidentally found 0.6 cm right middle lobe lung nodule. According to Fleischner Society guidelines, a follow-up chest CT is advised in 12 months (low risk patient) or 6-month (high risk patient) to confirm its stability/resolution.