The authors report the case of an elderly woman assessed for dyspnea and right costal
margin pain, whose chest radiography demonstrated opacity simulating pulmonary
lesion, and computed tomography revealed the vascular origin of the condition. Acute
aortic syndrome due to ruptured atheromatous plaque penetrating through the elastic
lamina in association with aortic hematoma and aneurysm is a relevant differential
diagnosis to be considered in these cases.
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