Rupture of thoracic aneurysm into pleural space x-ray and CT

A chest x-ray in AP projection (A) shows a white out of the left hemithorax (asterisk) in a hypotensive patient. Image B is a an axial CT through the lower chest showing a distal thoracic aneurysm (asterisk) with a small pseudoaneurysm (arrowhead) and a pleural space filled with high-density clot (arrow).