Question regarding 128 slice cat scan angiogram

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SUMMARY:

1. No abnormalities of the coronary arteries are identified. A small posterior descending branch of the right coronary artery is not well visualized.

2. No abnormalities of cardiac structures are identified.

My question is this: is this a bad thing that a small posterior descending branch of the RCA is not well visualized???

Thank you.

1 like, 7 replies

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7 Replies

  • Posted

    Well it depends how well you are feeling, to me it indicates that that branch is furred up to some degree with atherosclerotic plaque / atherosclerosis. If you are having heart niggles then this finding would explain them smile
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    • Posted

      Here is the full report:

      Narrative & Impression

      Indication: chest pain

      PROTOCOL: Baseline heart rhythm and vital signs were evaluated. Pre-procedural medications are listed below. An intravenous line was established and rapid bolus iodinated contrast was administered while CT images were obtained. No complications were encountered. Three dimensional reconstructions of the CT images were performed and post-processed, and interpretation was done on a three-dimensional workstation.

      Structures designated as normal should be understood to have no detectable abnormality within the intrinsic limitations of CT technique and the specific limitations of image quality as noted below. Coronary CTA resolution does not permit accurate analysis of vessels equal to or less than 1.5mm in diameter.

      IMAGE QUALITY:sufficient.

      CORONARY ANATOMY:

      LEFT MAIN CORONARY ARTERY:

      This bifurcating vessel shows no abnormality.

      LEFT ANTERIOR DESCENDING ARTERY:

      This vessel gives rise to small diagonal branches. No abnormalities are identified.

      LEFT CIRCUMFLEX ARTERY:

      This vessel gives rise to a small obtuse marginal branch shortly after charge and and the moderate-sized second obtuse marginal branch as well as a small distal posterior lateral branch. No abnormalities are identified.

      RIGHT CORONARY ARTERY:

      This vessel gives rise to a small posterior descending branch which is not well visualized. No abnormalities are identified.

      NON-CORONARY ANATOMY:

      CARDIAC MORPHOLOGY:

      Left ventricle: Normal morphology.

      Right ventricle: Normal morphology.

      AORTIC ROOT:

      No aneurysm, dissection or calcification.

      AORTIC VALVE:

      Normal morphology, no calcification:

      MITRAL VALVE:

      Normal morphology, no calcification.

      PERICARDIUM:

      No thickening, effusion or calcification.

      SUMMARY:

      1. No abnormalities of the coronary arteries are identified. A small posterior descending branch of the right coronary artery is not well visualized.

      2. No abnormalities of cardiac structures are identified.

      This cardiac scan was interpreted by a cardiologist with respect to the heart only. Please consult the radiology report for interpretation of non-cardiac structures.

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    • Posted

      You need to have this interpreted by a qualified medical practitioner, so you can be given a diagnosis and if necessary, a treatment plan, not all us strangers on the internet without medical degrees.
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    • Posted

      A niggle, is a persistent slight or mild discomfort, that might make you think something isn't right but you're not sure what or where it's coming from smile

      This 'small posterior descending branch of the right coronary artery is not well visualized' either because it is >= 1.5mm diameter or it is blocked. You having chest pain seems to indicate that it is blocked, I mean the contrast material doesn't choose which arteries and branches it's going to travel down, it travels down all it can smile 

      The question is can anything be done about it question I say probably not smile

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