*Department of Cardiovascular CT and MRI of the Heart Hospital (HCor), São Paulo, Brazil;
**Department of Radiology of the Heart Hospital (HCor), São Paulo, Brazil;
***Siemens Healthineers Brazil
A 76-year-old male patient, with a known history of hypertension and dyslipidemia, was presented to the emergency department complaining of acute retrosternal chest pressure. The pressure began three hours previously, radiated to the back, was accompanied by dyspnea, nausea and profuse perspiration and lasted for 20 minutes. The initial electrocardiogram and biomarkers were normal. A CT examination was requested to rule out coronary artery disease, pulmonary embolism and/or aortic dissection (triple rule out).