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Fig. 3B. —46-year-old man with concurrent intramural hematoma involving ascending aorta and communicating dissection involving descending aorta. Axial contrast-enhanced CT scan obtained at same level as A shows wall thickening in ascending and descending aorta, but high-attenuation intramural hematoma is less obvious. Classic intimomedial flap (arrow) dividing true and false lumens in descending aorta is more conspicuous after contrast administration. Note irregular margin of flap on false lumen side. Intramural hematoma (arrowhead) is seen along lateral wall of false lumen.

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