Answer of October 2000

 

Clinical History:


M/37. Preoperative assessment

Figure 1 (CXR)
Figure 2 (CECT)
Figure 3 (CECT)

What is your diagnosis?

                           Figure 1



                           Figure 2


                           Figure 3


                           Figure 4

 

Diagnosis:


Coarctation of the Aorta.


Discussion:


Figure 1&4 CXR shows the heart is enlarged and the aortic knuckle is small. There is bilateral inferior ribs notching.

Figure 2&3 CECT shows the coarctation together with enlarged collateral vessels along the internal mammary arteries and in the axilla.