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. 2017 Jan 31;11(1):14–19. doi: 10.3941/jrcr.v11i1.3015

Table 2.

Differential Diagnosis table for Pseudoaneurysm.

Pseudoaneurysm
  • X-Ray: No findings unless otherwise related to the etiology of the pseudoaneurysm. Possible soft tissue swelling may be seen depending on location.

  • US: “To and fro” pattern of blood entering false lumen in systole, re-entering native lumen in diastole.

  • CT: Contrast extravasation in arterial phase into a contained space.

  • MRI: T1-weighted MRI will demonstrate a flow void within an aneurysmal sac secondary to turbulent flow.

  • Angiography: Contrast extravasation from vessel lumen with circulating flow re-entering the native lumen.

Hematoma
  • X-Ray: May show soft tissue swelling.

  • US: Fluid collection without “to and fro” pattern.

  • CT: Soft tissue density consistent with hematoma. No contrast extravasation.

  • MRI: Appearance varies by acuity. T1 weighted imaging will typically show iso-intense to bright enhancement in acute phases and dark appearance in chronic hematomas.

  • Angiography: No vascular abnormalities.

Compartment Syndrome
  • X-Ray: May show soft tissue swelling. May show fractures depending on etiology.

  • US: Findings will be related to etiology, but compartment syndrome is a clinical diagnosis.

  • CT: Findings will relate to etiology. Compartment syndrome is a clinical diagnosis.

  • MRI: Findings will relate to etiology. Compartment syndrome is a clinical diagnosis.

  • Angiography: No vascular abnormalities.

Aneurysm
  • X-Ray: Aneurysmal dilation may be evident, particularly in calcified vessels, causing the lumen to be readily visible.

  • US: Enlarged vessel diameter without any “To and fro” pattern and no extravasation unless rupture has occurred.

  • CT: Aneurysmal dilation readily evident without contrast extravasation unless the aneurysm has ruptured.

  • MRI: Findings similar to CT.

  • Angiography: Aneurysmal dilation without contrast extravasation