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Syphilitic Aortitis in Chest X-ray

Syphilitic Aortitis in Chest X-ray appears as a dilatation of the ascending aorta, frequently with mural calcification

It may cause inflammation of the aortic valvular ring that results in aortic insufficiency. Approximately one-third of patients develop narrowing of the coronary ostia that may lead to symptoms of ischemic heart disease.

Syphilitic aortitis. Aneurysmal dilatation of the ascending aorta with extensive linear calcification of the wall (arrows). Some calcification is also seen in the distal aortic arch.