case_images: PMC11832285_01
case_images: Chest X-ray (posteroanterior view) showing patchy interstitial opacities in the bilateral lung fields, with increased prominence in the right lateral upper lobe and left lower lobe (yellow arrows)
case_images: cureus-0017-00000077633-i01.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i01.jpg
case_images: FIG1
case_images: A chest X-ray revealed patchy interstitial opacities in the bilateral lung fields, more pronounced in the right lateral upper lung and left lower lung, mildly increased compared to imaging four months prior, likely secondary to the progression of chronic parenchymal disease or a superimposed infection (Figures 1, 2).
case_images: Chest X-ray (lateral view) showing patchy interstitial opacities in the bilateral lung fields, with increased prominence in the right lateral upper lobe and left lower lobe (yellow arrows)
case_images: cureus-0017-00000077633-i02.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i02.jpg
case_images: FIG2
case_images: A chest X-ray revealed patchy interstitial opacities in the bilateral lung fields, more pronounced in the right lateral upper lung and left lower lung, mildly increased compared to imaging four months prior, likely secondary to the progression of chronic parenchymal disease or a superimposed infection (Figures 1, 2).
case_images: CTA of the chest with contrast (coronal view) demonstrating the usual interstitial pneumonia pattern of pulmonary fibrosis, most pronounced in the right lateral upper lobe and left lower lobe (orange arrows). CTA: computed tomography angiogram
case_images: cureus-0017-00000077633-i03.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i03.jpg
case_images: FIG3
case_images: The CTA showed no evidence of a pulmonary embolism, mildly progressed pulmonary fibrosis compared to two years ago (Figure 3), severe coronary arterial calcification, and moderate soft and calcified atherosclerotic plaques of the aorta.
case_images: CTA of the chest with contrast (sagittal view) showing multiple focal outpouchings from the distal aortic arch and proximal descending thoracic aorta (orange bracket), as well as a ductus diverticulum in the proximal descending thoracic aorta (yellow arrow). CTA: computed tomography angiogram
case_images: cureus-0017-00000077633-i04.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i04.jpg
case_images: FIG4
case_images: In addition, numerous focal outpouchings from the distal aortic arch and proximal descending thoracic aorta were noted on the CTA with contrast (Figures 4, 5, 6). Additionally, a ductus diverticulum was identified in the proximal descending thoracic aorta, measuring 1.1 cm in diameter and 2.5 cm in length (Figure 4).
case_images: CTA of the chest with contrast (axial view) showing multiple focal outpouchings in the distal aortic arch and proximal descending thoracic aorta (yellow arrows). CTA: computed tomography angiogram
case_images: cureus-0017-00000077633-i05.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i05.jpg
case_images: FIG5
case_images: In addition, numerous focal outpouchings from the distal aortic arch and proximal descending thoracic aorta were noted on the CTA with contrast (Figures 4, 5, 6).
case_images: CTA of the chest with contrast (coronal view) showing multiple focal outpouchings in the distal aortic arch and proximal descending thoracic aorta (yellow arrows). CTA: computed tomography angiogram
case_images: cureus-0017-00000077633-i06.jpg
case_images: PMC11832285_01_cureus-0017-00000077633-i06.jpg
case_images: FIG6
case_images: In addition, numerous focal outpouchings from the distal aortic arch and proximal descending thoracic aorta were noted on the CTA with contrast (Figures 4, 5, 6).