A 64-year-old man presents to A&E with chest pain radiating to the back and a difference in blood pressure between arms. Suspecting an aortic dissecti...

Question

A 64-year-old man presents to A&E with chest pain radiating to the back and a difference in blood pressure between arms. Suspecting an aortic dissection, what is the best initial imaging?

Accepted Answer

CT angiography of the aorta with contrast

Answer

Chest X-ray

Answer

MRI of the spine

Answer

Transthoracic echocardiogram only

Answer

Abdominal ultrasound

Aortic dissection — MRCEM SBA MCQ

A 64-year-old man presents to A&E with chest pain radiating to the back and a difference in blood pressure between arms. Suspecting an aortic dissection, what is the best initial imaging?