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1. A contrast-enhanced aortic MDCT demonstrated four localized dissections of the descending and the abdominal aorta (Panel A; reconstructed coronal view to show al four dissections). Panels B to E are axial views of each aneurysm. The first segment was at the top of the aortic arch (Panel B), the second was located in the retro cardiac aorta (Panel C), the third was at the level of the diaphragm (Panel D), and the fourth was located below the renal arteries (Panel E). The largest was saccular in shape and 5-cm in diameter (Panel C). □ PICTURES IN CLINICAL MEDICINE □

An Incidentally Found Case of Multiple Localized Segmented Painless Dissections of the Descending Aorta Like Gnarled Tree