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Wetread Case 38 (Answer)

Hx: Chest Pain

Answer: Penetrating Atheromatous Ulcer (PAU)

wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #chestrad

Original tweet:
L infrahilar mass - Does NOT obscure L heart border (blue) but does obscure aortic border (red - dashed lines being expected course and dark red line outlining mass).

Hilum overlay sign apparent as we still see hilar vessels through the mass (orange), ie mass is not the hilum
How about the lateral? While there may be some artistic license here, it suggests enlargement of the mid-descending thoracic aorta
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