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Wednesday, 14 November 2018

CASE 524: DOUBLE AORTIC ANEURYSMS, Dr PHAN THANH HAI, Dr VO HIEU THANH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man  72 yo with  blood test of PSA high 15ng/mL. MRI  FOR  PROSTATE EVALUATION.
MRI 1 = AT PELVIS, PROSTATE BIG, SUSPECTED  CANCER   PI-RADS 3 

MRI 2 =  GO UP FOR  EVALUATION  LYMPH NODE   DETECTED  ABDOMINAL AORTIC  ANEURYSM THAT HAD BEEN TREATED BY STENT ENDO LUMEN FOR 2 YEARS.


MRI 3 =  MRI RISE TO THORACIC AREA DETECTED ONE MASS  OF ANEURYSM #4 CM  BELONGS AORTIC DESCENDING.

MRI 4 = CROSSED SECTION AT SECOND ANEURYSM.



ULTRASOUND FOR  SECOND LOOK.
 US 1 US 2 : LONGITUDINAL SCANNING AT ABDOMEN AORTA  ANEURYSM.



US 3 AND US 4 : SCANNING AT PARASPINAL THORACIC   WITH  FLOW  EJECTION INTRA ANEURYSM.


SUMMARY = DOUBLE AORTIC ANEURYSMS WERE DETECTED INCIDENTAL BY MRI AND SECOND LOOK BY US.

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