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What Does This CT Scan Report Indicate?

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Posted on Sat, 5 Sep 2015
Question: can you look at the CT
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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
CT scanner but i don't cough and the the shortness of breath only when i lay flat only
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 XXXXXXX XXXX
it is upload
can you email me at YYYY@YYYY
doctor
Answered by Dr. Indu Kumar (5 hours later)
Brief Answer:
Shortness of breath may be due to anxiety and claustrophobia.

Detailed Answer:
Hello

I have gone through your findings in detail.
Your findings suggests progressing plaque in left carotid artery.It is important to know your symptoms.
You may need to control hypertension,diabetes mellitus,altered lipid profile if you have any.These conditions in uncontrolled stage may hasten the progression of plaque.You may need anti-platelet therapy,statins etc.

Generally intervention is required in stenosis greater than 60%.It also depend upon clinical evaluation and symptoms.

CT scan of thorax is normal.
Mild shortness of breath may be due to anxiety and claustrophobia.This is common in MRI imaging.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does This CT Scan Report Indicate?

Brief Answer: Shortness of breath may be due to anxiety and claustrophobia. Detailed Answer: Hello I have gone through your findings in detail. Your findings suggests progressing plaque in left carotid artery.It is important to know your symptoms. You may need to control hypertension,diabetes mellitus,altered lipid profile if you have any.These conditions in uncontrolled stage may hasten the progression of plaque.You may need anti-platelet therapy,statins etc. Generally intervention is required in stenosis greater than 60%.It also depend upon clinical evaluation and symptoms. CT scan of thorax is normal. Mild shortness of breath may be due to anxiety and claustrophobia.This is common in MRI imaging. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX