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An 86-year-old female with a history of hypertension for more than 40 years was admitted to our hospital complaining of sudden chest pain 12 hours ago. Physical examination showed no abnormality but mild swelling of the right lower extremity. However, contrast-enhanced Computed Tomography Angiogram (CTA) demonstrated a Stanford type B Aortic Dissection (AD), bilateral pleural effusion, and Pulmonary Embolism (PE) in the left lower pulmonary artery, right pulmonary artery trunk.