43 mm, asc. aorta.

Thoracic aorta diameters (mm): Sinus of Valsalva: 38 Sinotubular junction: 37 Ascending tubular aorta: 43 ← FUSIFORM ANEURYSM Aortic arch: 36 Descending thoracic aorta: 28 No thoracic aortic dissection. No intimal flap. No aneurysm leak/rupture. No intramural hematomas. No penetrating ulcers. Pulmonary artery: not enlarged. No filling defects. No pulmonary embolism. Heart: no cardiomegaly, no pericardial effusion. Lungs: clear. No nodules/masses, no consolidation, no interstitial pneumonitis. Pleura: no effusion, no pneumothorax. Mediastinum/hila: no mass, no lymphadenopathy. Chest wall/thoracic inlet: thyroid normal. No axillary lymphadenopathy. Musculoskeletal: no destructive lytic or blastic bony lesions. Visualized upper abdomen: liver mildly enlarged (right lobe 18.7 cm AP). Mild diffuse hepatic steatosis.

1. Ascending thoracic aorta: 43 mm fusiform aneurysm, no dissection, no leak. 2. Liver: mild hepatomegaly, mild diffuse hepatic steatosis.

LM 0% Proximal Mid Distal LAD 0% 0% 0% D1 0% 0% LCX 0% 0% 0% OM1 0% 0% PL 0% RCA 0% 0% 0% PDA 0% Findings: Limited field of view of the chest: Lungs: No nodules or infiltrates. No pleural effusions. Aorta: Moderate ascending aorta enlargement (4.3 cm outer wall diameter on non-contrast images; 4.1 cm luminal diameter on the contrast study). Aortic sinus upper normal in size (3.8 cm Left Coronary Sinus to Right Coronary Sinus). Follow-up evaluation of the aortic size with chest CTA of the entire thoracic aorta is recommended within 1 year. Pulmonary arteries: Normal appearance. Heart: Trileaflet aortic valve. Mediastinum and Hila: No enlarged lymph nodes. Upper Abdomen: Normal.

● Normal coronary arteries. No coronary atherosclerosis ● No coronary artery calcification: Coronary artery calcium score (CAC) 0.0. Probability of a zero calcium score: 59% (based on ethnicity, age, and gender). ● To protect against future cardiovascular events, it is recommended that attempts be made to optimize coronary artery disease risk factors. ● Mild ascending aorta enlargement (4.1 cm outer wall diameter on non-contrast images; 3.9 cm luminal diameter on the contrast study). Follow-up evaluation of the aortic size with chest CTA of the entire thoracic aorta is recommended within 2 years. ● Aortic sinus upper normal in size (3.8 cm Left Coronary Sinus to Right Coronary Sinus).

Total Agatston coronary calcium score: 2 (LM=0, LAD=2, Cx=0, RCA=0). Patient at 60th percentile for age/sex. Heart at upper limits of normal in size. Thoracic aorta 4.2 x 4.2 cm at the sinotubular junction. No pericardial effusion. No mediastinal lymphadenopathy. Visualized lungs clear, no nodule/mass. Osseous structures within normal limits.

Total Agatston coronary calcium score = 2. Ascending aorta dilated, measuring 4.2 cm at the sinotubular junction.