Periaortic lymphoma or residual inflammatory tissue can mimic an ascending aortic intramural hematoma on multiple imaging modalities, highlighting diagnostic challenges in patients with complex oncologic histories.
Periaortic lymphoma can mimic aortic intramural hematoma on imaging in oncologic patients; leaves open need for refined diagnostics in larger series.
Intramural hematomas (IMH) are a potentially ominous finding due to the concern for progression to frank aortic dissection. Thought to be a variant of aortic dissection without the typical entry/exit site or false lumen flow, IMHs are unpredictable in their behavior and thus challenging to manage
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Holley et al. (2014) studied this question.
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