PA and lateral chest radiographs two weeks before the patient's presentation demonstrate interval widening of the mediastinum with enlargement of the descending thoracic aorta. Also noted: a pacemaker in the left anterior chest wall, two pacing leads, and sternal wire sutures.
Original Source: Michael V Huppmann Submitted by: Michael V Huppmann - Affiliation: Walter Reed Army Medical Center
Approved By: Albert V Porambo - Affiliation: Civilian Medical Center
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