HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does This X-ray Report Indicate?

default
Posted on Thu, 27 Aug 2015
Question: good day doctor
we took my mom for xrays and it says the following
prominent unfolding of the aorta widended mediasternum
what medication can we give her had her by doctor and he gave he antibiotics 2 times now and predisone and pain medication but is about 2 months now and she is not getter better what can we do to help her we dont know anymore doctor
doctor
Answered by Dr. Ilir Sharka (47 minutes later)
Brief Answer:
An aortic aneurysm, dissectino should be firts ruled in/out.

Detailed Answer:

Hello XXXX!

Thank you for asking on HCM!

I understand your concern, and would like to explain that "prominent unfolding of the aorta" is not rarely seen in elderly individuals (as the ascending portion of the aorta increases in length and gives the impression of a shadow on the left heart border. This leads to a widened mediastinum.

As your mom is complaining of chest pain, the first disorder to differentiate with is aneurysm/dissection of the ascending thoracic aorta. A trans-thoracic cardiac ultrasound may be helpful to detect. If suspicions are raised a trans-esophageal cardiac ultrasound, thoracic angio CT or MRI will definitely rule in/out this life-threatening disorder, which deserves immediate surgical correction, if confirmed.

Other alternative explanations may be identified by the above mentioned imagine tests as well.

Hope to have been helpful to you!

Feel free to ask me whenever you need! Greetings! Dr. Iliri
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This X-ray Report Indicate?

Brief Answer: An aortic aneurysm, dissectino should be firts ruled in/out. Detailed Answer: Hello XXXX! Thank you for asking on HCM! I understand your concern, and would like to explain that "prominent unfolding of the aorta" is not rarely seen in elderly individuals (as the ascending portion of the aorta increases in length and gives the impression of a shadow on the left heart border. This leads to a widened mediastinum. As your mom is complaining of chest pain, the first disorder to differentiate with is aneurysm/dissection of the ascending thoracic aorta. A trans-thoracic cardiac ultrasound may be helpful to detect. If suspicions are raised a trans-esophageal cardiac ultrasound, thoracic angio CT or MRI will definitely rule in/out this life-threatening disorder, which deserves immediate surgical correction, if confirmed. Other alternative explanations may be identified by the above mentioned imagine tests as well. Hope to have been helpful to you! Feel free to ask me whenever you need! Greetings! Dr. Iliri