Impression
1. [Excellent] quality study.
2. Coronary artery calcium score by Agatston's criteria is [ ], representing [ ] percentile by age, gender and ethnicity based on the MESA criteria.
3. On the coronary CTA portion of the study, there is [no evidence for obstructive CAD].
4. Aortic size is [normal] in the visualized portions; in the visualized portions, there is [no] evidence of thoracic aortic dissection.
Recommendation
[No specific recommendation.]
Clinical Information
[Chest pain]
Technique
Cardiac CTA was performed on a [320]-slice cardiac CT scanner with prospective ECG [gating technique].
Procedure: EKG gated CT without contrast material and CT angiography with contrast material of the heart and coronary arteries, including 3D image post processing was performed.
Contrast Agent: [Ultravist 370]
Contrast Dose: [ ] cc
Contrast Reaction: [ ]
Study Quality: [ ]
Non-Diagnostic Study: [No]
DLP: [ ]
Effective dose: [Multiply DLP by 0.014] mSv
Results:
Coronary Artery Calcium Score:
Whole-Heart Agatston Score: [0]
MESA Percentile Rank: [0]
LM Agatston Score: [0]
LAD Agatston Score: [0]
Left circumflex Agatston Score: [0]
RCA Agatston Score: [0]
Ramus intermedius Agatston Score: [0]
Whole-heart volume Score: [0]
INTERPRETATION OF TOTAL AGATSTON CALCIUM SCORE
CALCIUM SCORE 0: Negative exam.
CALCIUM SCORE 1-10: Minimal plaque. Coronary artery disease unlikely.
CALCIUM SCORE 11-100: Mild plaque. Minimal stenosis is likely.
CALCIUM SCORE 101-400: Moderate plaque. Non-obstructive coronary artery disease is likely.
CALCIUM SCORE OVER 400: Extensive plaque. At least one significant stenosis (>50% diameter) is likely.
Results:
Coronary Artery CT Angiogram:
Coronary Dominance:
Right dominant [x]
Left dominant []
Co-dominant []
Anomalous coronary artery:
No [x]
Yes []
Coronary fistula:
No [x]
Yes []
Coronary arteries:
LM: [Normal]
LAD: [Normal]
LCX: [Normal]
RCA: [Normal]
Results:
Non-Coronary Findings:
Ascending thoracic aorta: [ ] cm.
Descending thoracic aorta: [ ] cm.
Coarctation:
Yes []
No [x]
Patent ductus arteriosus
Yes []
No [x]
Aortic Dissection
Not present [x]
Myocardial structure:
Ventricular Structure / Enlargement: Normal
Septal Abnormality: Not present
Pericardium:
Normal [x]
Pericardial effusion: None
Myocardial Infarction (myocardial thinning and low-attenuation):
No [x]
Incidental findings:
No evidence of pulmonary embolus in the scanned field of views]
Visualized Lung Parenchyma: Clear
1. [Excellent] quality study.
2. Coronary artery calcium score by Agatston's criteria is [ ], representing [ ] percentile by age, gender and ethnicity based on the MESA criteria.
3. On the coronary CTA portion of the study, there is [no evidence for obstructive CAD].
4. Aortic size is [normal] in the visualized portions; in the visualized portions, there is [no] evidence of thoracic aortic dissection.
Recommendation
[No specific recommendation.]
Clinical Information
[Chest pain]
Technique
Cardiac CTA was performed on a [320]-slice cardiac CT scanner with prospective ECG [gating technique].
Procedure: EKG gated CT without contrast material and CT angiography with contrast material of the heart and coronary arteries, including 3D image post processing was performed.
Contrast Agent: [Ultravist 370]
Contrast Dose: [ ] cc
Contrast Reaction: [ ]
Study Quality: [ ]
Non-Diagnostic Study: [No]
DLP: [ ]
Effective dose: [Multiply DLP by 0.014] mSv
Results:
Coronary Artery Calcium Score:
Whole-Heart Agatston Score: [0]
MESA Percentile Rank: [0]
LM Agatston Score: [0]
LAD Agatston Score: [0]
Left circumflex Agatston Score: [0]
RCA Agatston Score: [0]
Ramus intermedius Agatston Score: [0]
Whole-heart volume Score: [0]
INTERPRETATION OF TOTAL AGATSTON CALCIUM SCORE
CALCIUM SCORE 0: Negative exam.
CALCIUM SCORE 1-10: Minimal plaque. Coronary artery disease unlikely.
CALCIUM SCORE 11-100: Mild plaque. Minimal stenosis is likely.
CALCIUM SCORE 101-400: Moderate plaque. Non-obstructive coronary artery disease is likely.
CALCIUM SCORE OVER 400: Extensive plaque. At least one significant stenosis (>50% diameter) is likely.
Results:
Coronary Artery CT Angiogram:
Coronary Dominance:
Right dominant [x]
Left dominant []
Co-dominant []
Anomalous coronary artery:
No [x]
Yes []
Coronary fistula:
No [x]
Yes []
Coronary arteries:
LM: [Normal]
LAD: [Normal]
LCX: [Normal]
RCA: [Normal]
Results:
Non-Coronary Findings:
Ascending thoracic aorta: [ ] cm.
Descending thoracic aorta: [ ] cm.
Coarctation:
Yes []
No [x]
Patent ductus arteriosus
Yes []
No [x]
Aortic Dissection
Not present [x]
Myocardial structure:
Ventricular Structure / Enlargement: Normal
Septal Abnormality: Not present
Pericardium:
Normal [x]
Pericardial effusion: None
Myocardial Infarction (myocardial thinning and low-attenuation):
No [x]
Incidental findings:
No evidence of pulmonary embolus in the scanned field of views]
Visualized Lung Parenchyma: Clear