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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CT Coronary Angiography Report Done, Shows Stenosis, Patent Calcification, Soft Plaque. Normal Report?

my name is XXXXX.age 43. this is my CTcoronary angiography report. 64.multislice CT coronary angiogram was performed injecting 70 ml of non-ionic contrast at a rate of 5.2ml/sec and retrospective ECG gating curved reconstruction,multiplaner reformats and 3D volume rendering reconstruction performed to evaluate the coronary arterial anatomy . Findings: Calcium score 75(LAD 10, RCA 65) right dominant circulation LMCA: IS NORMAL LAD: has clarification at proximal segments but no stenosis seen.it gives off septal 1 and d1 branches which are normal. RCA: HAS CLARIFICATIONS AT PROXIMAL SEGMENTS WITH A SOFT PLAQUE AT PROXIMAL/MID SEGMENTS CAUSING 30-40% STENOSIS.IT GIVES OFF CONUS,AM1 BRANCH WHICH IS NORMAL. distally continous are PDA/PLB are normal. impression: in a known case of PTCA IN LCX is patent clacification and soft plaque at proximal/ mid RCA causing 30-40% stenosis. please do lemme knw wether report is normal or not. thankyou
Fri, 29 Jun 2012
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Cardiologist,  's  Response
Hi
From history of previous stent to LCX - angioplasty and now CT angio , multiple calcifications esp in RCA causing 30-40 % stenosis is a significant observation .
Here you will need to asses severity of the lesion by undergoing coronary angiography - catheter as CT angio is only giving us information about possible lesion .
Catheter Cor angio will clearly tell us about any lesion and whether it is significant to consider for stent .
So plan catheter angiography and further treatment in consultation with your treating cardiologist .
Thx
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CT Coronary Angiography Report Done, Shows Stenosis, Patent Calcification, Soft Plaque. Normal Report?

Hi From history of previous stent to LCX - angioplasty and now CT angio , multiple calcifications esp in RCA causing 30-40 % stenosis is a significant observation . Here you will need to asses severity of the lesion by undergoing coronary angiography - catheter as CT angio is only giving us information about possible lesion . Catheter Cor angio will clearly tell us about any lesion and whether it is significant to consider for stent . So plan catheter angiography and further treatment in consultation with your treating cardiologist . Thx