Case Report

The Differential Diagnosis of Two Cases of Chronic Periaortitis

Figure 2

(a) Contrast-enhanced CT imaging showed diffuse thickening of the aortic arch, with enhanced mediastinal connective tissue. ((b), (c)) Gadolinium-enhanced MRI showed low intensity in the T2-weighted sequence (b) and high intensity in the diffusion-weighted sequence (c), suggesting the presence of inflammation. (d) A biopsy of the tissue, using a mediastinal scope, revealed infiltration by inflammatory cells, but no bacteria. (e) A contrast-enhanced CT image 2 weeks after starting the glucocorticoid therapy.
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(a)
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(b)
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(c)
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(d)
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(e)