I finally got to see my Cardiologist today. I did meet with his PA over the holiday who is very capable but I just needed to speak to my Doctor. He assured me that my 4.1 cm is very small he went on to say that the word Aneurysm shouldn't not be used to describe certain sized dilations. He also said there will be a new term that the medical profession is looking to use is ectasia. He said mine falls into that category. I asked about the measurement he did confirm that the 4.1 cm is the size of the diameter of the aorta not the ectasia. I asked what size my aorta is and he is sending me for a Chest CT so we can see. But the overall discussion was that yes I have a dilation but nothing will be done before it reaches 5.5 cm he said the medical field is constantly coming up with new innovative ways of treating these types of issues and the survival rate had gone up significantly. So if I need to have this addressed there will probably be a new much less invasive way of correcting it. Bottom line is that I am glad I went to see him my stress level has gone down significantly and I feel much more relaxed about the entire situation. He said as long as I follow his instructions which is take my HBP meds, keep the Cholesterol where it should be and monitor I should be OK and that is all I needed to hear.