Echo Summer Challenge 2 - What is the structure adjacent to the ascending aorta?

Are you ready for some important teaching points? Can you solve the following „echo mystery“?

This image is from a 56-year-old woman with chest pain:

What is the structure adjacent to the ascending aorta?

What is the structure adjacent to the ascending aorta?

A) Pericardial cyst

B) Coronary artery aneurysm

C) Enlarged pulmonary artery

D) Pseudoaneurysm of the aorta

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Post your comments below or get the answer.

Yours,
Thomas Binder and the 123sonography team