Chest xray in aortic dissection:

*should be performed at initial investigation of aortic dissection.
*it may or may not reveal any abnormality. *Widening of the mediastinum is the classic finding (56-63%),
*abnormal aortic contour (48%),

  • aortic knuckle double calcium sign >5mm (14%),
    *pleural effusion (L>R), *tracheal shift,
  • left apical cap,
    *deviated NGT.
    *‘Normal’ in 11-16%