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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Cat Scan S Result Indicate?

Dear doctor; I have recently been diagnosed as having experienced TIA S. In the E.R. a CT scan, as well as EKG and chemistries have been done. Follow-up with the primary doctor. He ordered a carotid artery test and a Echo-cardiogram. The carotid outcome was: 42 to 59% blockage on the (L). The Echo-cardiogram showed good blood flow. Please be so kind and let me know the interpretation of the Cat scan s result which states: MILD PATCHY PERIVENTRICULAR/DEEP WHITE MATTER . SMALL VESSEL ISCHEMIC CHANGE WITHOUT ACUTE INTERCRANIAL PROCESS IDENTIFIED. I am a retired Med. Tech. and should I not be on a blood thinner. ? I am a pure Cholesterolemia patient and can t tolerate Statins. Very concerned Sigrid.
Wed, 28 May 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in to us.

You might have had slightly deficient blood supply through small vessels in the brain causing focus of ischemia. This is a slow process and is seen in diabetics, hypertensives or in advanced aging. At 55 years, it might be a bit early for you to have these changes and a complete neurological clinical examination is suggested. At the advise of your doctor, medications might be need to be taken with regular follow ups.

The carotid outcome of 42 to 59% is mild blockage. Significant blockage is more than 75%. You may need to discuss with your cardiologist who will have a look at your cholesterol numbers before suggesting blood thinners.
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What Does The Cat Scan S Result Indicate?

Hi, Thanks for writing in to us. You might have had slightly deficient blood supply through small vessels in the brain causing focus of ischemia. This is a slow process and is seen in diabetics, hypertensives or in advanced aging. At 55 years, it might be a bit early for you to have these changes and a complete neurological clinical examination is suggested. At the advise of your doctor, medications might be need to be taken with regular follow ups. The carotid outcome of 42 to 59% is mild blockage. Significant blockage is more than 75%. You may need to discuss with your cardiologist who will have a look at your cholesterol numbers before suggesting blood thinners.