Patient's Query
Hi doctor,
I felt some chest discomfort for about three weeks. Last week, I had an ECG, blood tests, echo, stress test, and CT angiogram, and everything came back clear. However, there is something I am not sure about regarding the CT angiogram. It is as follows. The heart is normal in size. No pericardial thickening or pericardial effusion. The visualized portion of the aorta is normal in course and caliber.
The aortic root measures 34 mm at the sinuses of Valsalva. The ascending aorta measures 25 mm at the level of the right pulmonary artery. A focal 3 mm calcification is seen adjacent to the left ventricular apex. I am worrying about the calcification. Is that something to be concerned? My calcium score was 0, and I had no CAD.
Thank you.
Hi,
Welcome to icliniq.com.
Your angiogram is perfectly normal (attachment removed to protect patient identity). Calcification is a normal phenomenon that starts when we are 10 years old. It starts with every individual and keeps on increasing gradually as time progresses. A calcification of more than 75 % on angiography is significant and needs to be treated (medically or through stents). A calcification of less than 75 % is absolutely normal, and you need not worry about it.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I do not have those recordings. The only thing I have is the report sent by the radiologist. As far as the echo, I do not have that either. According to the doctor who did the echo and stress test, everything is normal.
Thank you.
Hi,
Welcome back to icliniq.com.
Plaques less than 10 mm are considered to be mild in nature. As your cardiologist and radiologist might have observed a focal deposit in that area, he mentioned it. However, as this small amount of deposit is insignificant, he did not report it in the final report.
Just like you say your coronary angiogram is normal, that does not mean that you have a zero percent blockage in the artery. But that means that your blockages are less than 70 percent. Only more than 70 percent are to be taken care of, so they are mild in nature and are not even mentioned.
I hope this helps.
Please revert so I can assist you further.
Thank you.
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Answered byDr. Rishu Sharma
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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