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Aortic aneurysm
Aortic aneurysm


68 yom with low back pain.


Left shin numbness, left weak foot dorsiflexion.


Lateral radiograph of the lumbar spine shows, in addition to mild multi-level disco-vertebral degenerative changes, a calcified aorta with aneurysm. Ultrasound was used to assess aneurysm size.

Differential Diagnosis

Abdominal aortic aneurysm.

Case Diagnosis

Abdominal Aortic Aneurysm

Treatment & Follow Up

CT should be promptly obtained if there is concern for leakage/rupture, as in the case of low back pain. Typically, the risks of surgical correction begin to outweigh the risk of rupture when the lesion is over 5.0 cm in AP dimension, although treatment may be instituted at lesser sizes. Source NIH MedPix

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