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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Scan Report Indicate?

I would highly appreciate your valuable advise on the undermentioned report: Diagnostic Text Report Clinical Data: Peripheral arterial disease Both lower limb arterial system were evaluated from the groin to the ankle region. Right Side Eccentric calcified plaque measuring 17.3mm x 3.3 mm is noted in the right common artery. Right common femoral artery shows triphasic flow pattern. Right superficial femoral artery: Intimal thickening is noted in the right superficial femoral artery. Multiple eccentric calcified plaques are noted in the superficial femoral artery. A soft plaque is noted in the proximal superficial artery measuring 11.3mm x 3.6mm causing 40% to 50% luminal narrowing. Flow pattern appears triphasic. Popliteal artery: eccentric linear soft plaque is noted in the popliteal artery causing 30% to 40% luminal narrowing, monophasic flow pattern is seen. Tibio-peroneal trunk: multiple calcified plaques are noted in the tibio-peroneal trunk. ATA: extensive calcified and soft plaque is noted in ATA causing severe luminal narrowing. Proximal ATA shows dampened low velocity monophasic flow pattern. Distal ATA and dorsalis pedis shows collateral flow. Posterior tibial artery shows extensive calcified and soft plaques causing luminal narrowing. Collateral low velocity flow is noted in the distal PTA. Right Systolic EDV (cm/sec) (cm/sec) CFA 72.9 8.8 SFA (Prox) 70.3 8.0 (Middle) 38.1 7.0 (Dist) 67.3 7.0 Pop. Art 34.6 Peroneal trunk (PTA) 44.2 ATA (proximal) 26.1 Left Side Eccentric calcified plaques is not in the left common femoral artery measuring 15.6mm. Flow pattern is triphasic. Superficial femoral artery: Intimal thickening is noted in superficial femoral artery. Multiple eccentric calcified plaques are noted in superficial femoral artery. Flow pattern is triphasic. Right popliteal artery: Eccentric calcified plaques are noted in popliteal artery and flow pattern is triphasic. Tinioperoneal trunk: It shows triphasic flow pattern. Extensive soft and calcified plaques are noted in the both PTA and ATA causing severe luminal narrowing. Proximal ATA and PTA low velocity dampened flow and pattern. Distal ATA and PTA shows collateral flow. Left Systolic EDV (cm/sec) (cm/sec) CFA 79.8 17.1 SFA (Prox) 55.7 6.5 (Middle) 57.2 9 (Dis) 62.2 8.0 Pop. Art 39.2 5 Peroneal trunk (PTA) 57.2 6.5 ATA (proximal) 27.6 IMPRESSION: Extensive atherosclerotic changes in both limb arteries. Multiple eccentric calcified plaques are noted in both lower limb arteries. Eccentric soft plaques in proximal right superficial femoral artery causing 40% to 50% luminal narrowing. Extensive soft and calcified plaques in both ATA and PTA causing luminal narrowing. Distal ATA and PTA blocks with collateral flow distally in ATA, dorsalis pedis and PTA.
Mon, 3 Oct 2016
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Cardiologist 's  Response
Hello ,
Ehat you have is called peripheral artery disease . The blocks in the lower limb may be the reason why you have pain while you walk or a non healing would .
Consider starting medication . aspirin , Statin and , cilastazol are recommended and if the symptoms still persist a than an more comprehensive evaluation and further management should be discussed with your doctor .
Regards
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What Does This Scan Report Indicate?

Hello , Ehat you have is called peripheral artery disease . The blocks in the lower limb may be the reason why you have pain while you walk or a non healing would . Consider starting medication . aspirin , Statin and , cilastazol are recommended and if the symptoms still persist a than an more comprehensive evaluation and further management should be discussed with your doctor . Regards