Aortic Arch Arteritis

Clinical History: 
A 45 year old male with headache and mild chest pain for several months.

Aortic arch arteritis, possibly Takayasu arteritis

MR Technique: 
3.0 Tesla scanner (Siemens Skyra) using a body matrix coil coupled with a 24-channel spine coil. Image 1: Coronal T2_HASTE_320_breathhold (TR/TE 500/24 ms, scan time 27 sec, slice thickness 8 mm); Image 2: Coronal pre-contrast T1_VIBE_FS_288_breathhold (TR/TE 3.2/1.1 ms, scan time 22.41 sec, slice thickness 1.8 mm); Image 3: Coronal post-contrast T1_VIBE_FS_288_breathhold (TR/TE 3.2/1.1 ms, scan time 24.52 sec, slice thickness 1.8 mm).

Imaging Findings:
Moderate concentric wall thickening/inflammatory change is present around the aortic arch with post-contrast enhancement. The wall thickening/inflammatory changes also affect the origins of the left common carotid and left subclavian arteries (not shown). These findings are suggestive of arteritis, possibly Takayasu arteritis.