Thoracic aortic aneurysm on X‑ray: 5 real cases

Real, openly licensed radiographs showing thoracic aortic aneurysm. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • Widened or abnormally prominent aortic contour (knuckle or descending aorta).
  • Mediastinal widening that follows the course of the aorta.
  • Curvilinear wall calcification may outline the dilated aorta.
  • Plain film cannot exclude or characterise aneurysm or dissection; CT angiography is required.

Learn: Mediastinum and hila

Quiz yourself on chest images

Cases

Other chest diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.