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A case of a periaortic lymphoma presenting with the features of descending thoracic aorta dissection

¹Cardiothoracic and ²Radiology Departments, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK

View larger version (96K): [in this window] [in a new window]   Figure 1. Penetrating ulcer in the descending aorta(arrow) with extensive surrounding soft tissue, presumed to be haematoma, and bilateral pleural effusions. There is also abnormal soft tissue around the right internal mammary vessels (arrowhead).

View larger version (98K): [in this window] [in a new window]   Figure 2. 2 months after aortic stent: well position of the intravascular stent (arrow); large periaortic and mediastinal soft tissue mass (arrowhead); bilateral pleural effusion, more evident on the right.

View larger version (82K): [in this window] [in a new window]   Figure 3. (a) 4 months post-aortic stent: bilateral pleural effusions, nodular pleural thickening (arrowhead) and abnormal soft tissue around the right internal mammary vessels (arrow) which was biopsied. (b) Large right paracardial soft tissue mass (arrow) and nodular pleural thickening (arrowhead). (c) Soft tissue mass inseparable from the right crus (arrow).