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.