Normal aorta – 27-year-old

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Normal aorta – 27-year-old

  • Only part of the aorta is visible on a chest X-ray
  • A small part of the ascending aorta may be visible
  • The ‘aortic knuckle’ forms a reliable landmark
  • The descending aorta forms a straight line to the left of the spine
  • Read more about mediastinal contours

Aortic unfolding – 66-year-old

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Aortic unfolding – 66-year-old

  • With age the aorta lengthens and appears to buckle or ‘unfold’
  • The descending aorta may appear tortuous rather than straight

Aortic unfolding – 99-year-old

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Aortic unfolding – 99-year-old

  • Aortic unfolding is not considered pathological but is associated with atherosclerosis
  • Calcification of the aorta is seen in this patient
  • Compare with aortic aneurysm

Page author: Salisbury NHS Foundation Trust UK (Read bio)

Last reviewed: October 2019