Thoracoabdominal aortic aneurysm presenting as a solitary pulmonary nodule

Bronchogenic carcinoma was suspected in an elderly male smoker who had lost weight and presented with a large solitary pulmonary nodule on the radiograph. On thoracotomy a thoracoabdominal aortic aneurysm was found. The diographic findings in this case and the characteristics of thoracoabdominal aneurysms in general are briefly discussed.