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What Does My Lab Test Report Indicate?
Posted on
Thu, 20 Aug 2015
Thu, 20 Aug 2015
Answered on
Wed, 16 Sep 2015
Last reviewed on
Question : can toy have a look at this report
XXXX, XXXXXXX (MRN 0000)
-------------------------------------------------------------------------------------------------------------------------------------------
PATIENT NAME:XXXX, XXXXXXX
Exam: MRA NECK WO/W CONTRAST
DATE OF EXAM: 07/23/2015 8:39 PM
AGE AT THE TIME OF EXAM: 73 yrs
ADMITTING PHYSICIAN:
REQUESTING PHYSICIAN: Khorsandi, Mehran J
CC:
Imaging Medication: gadobutrol (GADAVIST) injection 10 mL 9 mL, Total Given: 9 mL (1 dose)
MRA NECK WO/W CONTRAST 7/23/2015 8:39 PM
CLINICAL INDICATION: Carotid stenosis
COMPARISON: CT angiogram 2/14/2013
TECHNICAL FACTORS:
1. 2-D time-of-flight MR angiography
2. Postcontrast 3-D time-of-flight MR angiography
3. NASCET criteria were applied for measurement.
IMAGING MEDICATIONS: Gadolinium
Fri Jul 24, 2015 3:59 PM Page 1 of 4
CSN MRN PATIENT TYPE BIRTHDATE
0000 0000 Outpatient 12/16/1941
Radiation:
S. Mark Taper Foundation Imaging Center
8705 XXXXXXX XXXXXXX Dr. Los Angeles, CA 90048
IMAGING REPORT
310-423-8000
FINAL RESULT
XXXX, XXXXXXX (MRN 0000)
FINDINGS:
Aortic arch: Normal
Origins of the great vessels: Normal
Right carotid arteries: Plaque along the medial wall the right
carotid bulb not resulting in any stenosis.
Left carotid arteries: Just beyond the carotid bulb there is a
narrowing of the vessel extending almost a centimeter, with a
55-60% stenosis
Right vertebral artery: Terminates in the upper neck or the base
of the skull with no evidence of it joining the left vertebral
artery
Left vertebral artery: Normal and dominant
Soft tissues of the neck: Normal
Cervical spine: Normal
IMPRESSION:
55-60% stenosis of almost a 1 cm segment of the left carotid
artery just beyond the carotid bulb. This is progressed since the
study of 2/14/2013 when the stenosis appeared to be approximately
40%
Plaque of the right carotid bifurcation without stenosis
Reviewed and Interpreted by: XXXXXXX D Pressman, MD FACR 7/24/2015
11:47 AM
Fri Jul 24, 2015 3:59 PM Page 2 of 4
ELECTRONICALLY SIGNED ON:
07/24/2015 11:47 AM
Important Message: This information is intended for the use of the person or entity to which it is addressed
and may contain information that is privilege and confidential, the disclosure of which is governed by
applicable law. If the reader of this information is not the intended recipient, or the employee or agent
responsible to deliver it to the intended recipient, you are hereby notified that any dissemination,
distribution or copy of this information is STRICTLY PROHIBITED. If you have received this information by
error, please notify us immediately at 310 - 423- 8000 and destroy the related message. Thank you for
your cooperation.
DICTATED BY: ELECTRONICALLY SIGNED BY:
Pressman, XXXXXXX D, MD Pressman, XXXXXXX D, MD
XXXX, XXXXXXX (MRN 0000)
Fri Jul 24, 2015 3:59 PM Page 3 of 4
XXXX, XXXXXXX (MRN 0000)
END OF REPORT
Fri Jul 24, 2015 3:59 PM Page 4 of 4
XXXX, XXXXXXX (MRN 0000)
-------------------------------------------------------------------------------------------------------------------------------------------
PATIENT NAME:XXXX, XXXXXXX
Exam: MRA NECK WO/W CONTRAST
DATE OF EXAM: 07/23/2015 8:39 PM
AGE AT THE TIME OF EXAM: 73 yrs
ADMITTING PHYSICIAN:
REQUESTING PHYSICIAN: Khorsandi, Mehran J
CC:
Imaging Medication: gadobutrol (GADAVIST) injection 10 mL 9 mL, Total Given: 9 mL (1 dose)
MRA NECK WO/W CONTRAST 7/23/2015 8:39 PM
CLINICAL INDICATION: Carotid stenosis
COMPARISON: CT angiogram 2/14/2013
TECHNICAL FACTORS:
1. 2-D time-of-flight MR angiography
2. Postcontrast 3-D time-of-flight MR angiography
3. NASCET criteria were applied for measurement.
IMAGING MEDICATIONS: Gadolinium
Fri Jul 24, 2015 3:59 PM Page 1 of 4
CSN MRN PATIENT TYPE BIRTHDATE
0000 0000 Outpatient 12/16/1941
Radiation:
S. Mark Taper Foundation Imaging Center
8705 XXXXXXX XXXXXXX Dr. Los Angeles, CA 90048
IMAGING REPORT
310-423-8000
FINAL RESULT
XXXX, XXXXXXX (MRN 0000)
FINDINGS:
Aortic arch: Normal
Origins of the great vessels: Normal
Right carotid arteries: Plaque along the medial wall the right
carotid bulb not resulting in any stenosis.
Left carotid arteries: Just beyond the carotid bulb there is a
narrowing of the vessel extending almost a centimeter, with a
55-60% stenosis
Right vertebral artery: Terminates in the upper neck or the base
of the skull with no evidence of it joining the left vertebral
artery
Left vertebral artery: Normal and dominant
Soft tissues of the neck: Normal
Cervical spine: Normal
IMPRESSION:
55-60% stenosis of almost a 1 cm segment of the left carotid
artery just beyond the carotid bulb. This is progressed since the
study of 2/14/2013 when the stenosis appeared to be approximately
40%
Plaque of the right carotid bifurcation without stenosis
Reviewed and Interpreted by: XXXXXXX D Pressman, MD FACR 7/24/2015
11:47 AM
Fri Jul 24, 2015 3:59 PM Page 2 of 4
ELECTRONICALLY SIGNED ON:
07/24/2015 11:47 AM
Important Message: This information is intended for the use of the person or entity to which it is addressed
and may contain information that is privilege and confidential, the disclosure of which is governed by
applicable law. If the reader of this information is not the intended recipient, or the employee or agent
responsible to deliver it to the intended recipient, you are hereby notified that any dissemination,
distribution or copy of this information is STRICTLY PROHIBITED. If you have received this information by
error, please notify us immediately at 310 - 423- 8000 and destroy the related message. Thank you for
your cooperation.
DICTATED BY: ELECTRONICALLY SIGNED BY:
Pressman, XXXXXXX D, MD Pressman, XXXXXXX D, MD
XXXX, XXXXXXX (MRN 0000)
Fri Jul 24, 2015 3:59 PM Page 3 of 4
XXXX, XXXXXXX (MRN 0000)
END OF REPORT
Fri Jul 24, 2015 3:59 PM Page 4 of 4
Brief Answer:
Read below
Detailed Answer:
Hello!
I read your MRI report carefully.
The report speaks of a stenosis of the left carotid artery. A stenosis means narrowing, in this case it is due to an atherosclerotic plaque. The degree of the stenosis is by 55-60% of the vessel lumen. It seems you had had another exam two years ago when it was only 40%, so it has progressed. The narrowed segment is about 1 cm long.
Now the implications of this. Such narrowing shouldn't affect blood supply to the brain (but if it progresses further it might lower blood flow to the brain). However this atherosclerotic plaque can be the basis for formation of thrombi. These thrombi can detach and move through the vessel to block a blood vessel in the brain, thus causing stroke.
For this reason it is very important to halt progression. To do that your risk factors for atherosclerosis must be addressed, factors like high blood pressure, diabetes, smoking, high lipids, obesity. Also a blood thinner like aspirin is used, it inhibit blood platelets from creating thrombi. A statin is also used, statins lower blood lipids and also stabilize the atherosclerotic plaque.
These days there is also surgery or stenting but they are recommended for more severe stenosis, over 70%.
Another finding in the MRI is a variation of one of your vertebral arteries which doesn't unite with the other one, it can be a variation which you were born with (many people have such variations), it doesn't need any treatment, no cause for concern.
Read below
Detailed Answer:
Hello!
I read your MRI report carefully.
The report speaks of a stenosis of the left carotid artery. A stenosis means narrowing, in this case it is due to an atherosclerotic plaque. The degree of the stenosis is by 55-60% of the vessel lumen. It seems you had had another exam two years ago when it was only 40%, so it has progressed. The narrowed segment is about 1 cm long.
Now the implications of this. Such narrowing shouldn't affect blood supply to the brain (but if it progresses further it might lower blood flow to the brain). However this atherosclerotic plaque can be the basis for formation of thrombi. These thrombi can detach and move through the vessel to block a blood vessel in the brain, thus causing stroke.
For this reason it is very important to halt progression. To do that your risk factors for atherosclerosis must be addressed, factors like high blood pressure, diabetes, smoking, high lipids, obesity. Also a blood thinner like aspirin is used, it inhibit blood platelets from creating thrombi. A statin is also used, statins lower blood lipids and also stabilize the atherosclerotic plaque.
These days there is also surgery or stenting but they are recommended for more severe stenosis, over 70%.
Another finding in the MRI is a variation of one of your vertebral arteries which doesn't unite with the other one, it can be a variation which you were born with (many people have such variations), it doesn't need any treatment, no cause for concern.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can you email it to YYYY@YYYY
Brief Answer:
OK
Detailed Answer:
Do you mean email my answer? Ok I will.
Please do tell me if you meant something else.
OK
Detailed Answer:
Do you mean email my answer? Ok I will.
Please do tell me if you meant something else.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i did a CT scanner on 8-17-2015 that the question i asked the history in wrong the shortness only when i lay flat on bed the rest of the time i’m ok and i do not cough
thanks XXXXX
thanks XXXXX
Brief Answer:
No CT, neck MRA
Detailed Answer:
I am afraid I don't completely understand you.
You seem to complain shortness of breath when lying flat. However the report you submit is a neck MRA not CT.That is not a test which tells us anything about the cause of the shortness of breath, is of no use.
In the absence of other info on other conditions and medications, tests you have done for heart and lung function it is difficult to judge. Usually shortness of breath when lying flat and improving when sitting is related to heart issues.
No CT, neck MRA
Detailed Answer:
I am afraid I don't completely understand you.
You seem to complain shortness of breath when lying flat. However the report you submit is a neck MRA not CT.That is not a test which tells us anything about the cause of the shortness of breath, is of no use.
In the absence of other info on other conditions and medications, tests you have done for heart and lung function it is difficult to judge. Usually shortness of breath when lying flat and improving when sitting is related to heart issues.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i sent the XXXXXXX pacific CT Report
Brief Answer:
CT is normal
Detailed Answer:
I read your CT scan report as well.
That report shows nothing wrong with your lungs, so the shortness of breath should not be related to any lung issue.
As I said shortness of breath on lying is usually associated with heart disease, typical in congestive heart failure, so that is the direction in which it should be investigated.
CT is normal
Detailed Answer:
I read your CT scan report as well.
That report shows nothing wrong with your lungs, so the shortness of breath should not be related to any lung issue.
As I said shortness of breath on lying is usually associated with heart disease, typical in congestive heart failure, so that is the direction in which it should be investigated.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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