A 65-year-old man presents with a 2-week history of abdominal discomfort. Physical examination reveals a pulsatile abdominal mass in the periumbilical region. A CT scan shows a segment of abdominal aorta proximal to the bifurcation that is dilated (5 cm) and calcified. The patient is scheduled for corrective surgery but suffers a massive stroke and expires. The abdominal aorta is examined at autopsy (shown in the image). Which of the following is the most likely underlying cause of this patient's abdominal mass? (A) Angiosarcoma (B) Atherosclerosis (C) Cystic medial necrosis (D) Hypercalcemia (E) Thromboembolism
A 65-year-old man presents with a 2-week history of abdominal discomfort. Physical examination reveals a pulsatile abdominal mass in the periumbilical region. A CT scan shows a segment of abdominal aorta proximal to the bifurcation that is dilated (5 cm) and calcified. The patient is scheduled for corrective surgery but suffers a massive stroke and expires. The abdominal aorta is examined at autopsy (shown in the image). Which of the following is the most likely underlying cause of this patient's abdominal mass? (A) Angiosarcoma (B) Atherosclerosis (C) Cystic medial necrosis (D) Hypercalcemia (E) Thromboembolism
Chapter20: Radiology And Diagnostic Imaging
Section: Chapter Questions
Problem F4CRE
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Question
A 65-year-old man presents with a 2-week history of abdominal discomfort. Physical examination reveals a pulsatile abdominal mass in the periumbilical region. A CT scan shows a segment of abdominal aorta proximal to the bifurcation that is dilated (5 cm) and calcified. The patient is scheduled for corrective surgery but suffers a massive stroke and expires. The abdominal aorta is examined at autopsy (shown in the image). Which of the following is the most likely underlying cause of this patient's abdominal mass?
(A) Angiosarcoma
(B) Atherosclerosis
(C) Cystic medial necrosis
(D) Hypercalcemia
(E) Thromboembolism
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