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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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jude65855 chucksusanb
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chucksusanb jude65855
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Guest chucksusanb
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chucksusanb Guest
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chucksusanb
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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.
jude65855 chucksusanb
Posted
Guest chucksusanb
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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
The question is can anything be done about it
I say probably not 