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To present a case with visual images of an aortic dissection with aneurysmal degeneration. Methods: A case report was described of a patient presenting to the emergency department with back pain. An aortic dissection with aneurysmal degeneration was rapidly identified with bedside ultrasound in the emergency department.An aortic dissection was detected rapidly by emergency physician preformed bedside ultrasound. This led to rapid identification and treatmentRapid bedside emergency ultrasound can quickly and accurately diagnosis an aortic dissection and lead to rapid treatment.