I have CT heart artery scan results. I would like it analyzed for blockages.

Hello,

Welcome to icliniq.com.

I passed carefully through your uploaded coronary angiography CT images (attachment removed to protect patient identity) and would like to explain that there is extensive calcification inside the RCA (right coronary artery) that seems to produce important coronary narrowing. In addition, calcified lesions appear in the proximal portion of LAD (left anterior descending artery) and some scattered calcification inside LCx (left circumflex artery). Coming to this point and considering also the presence of coronary risk factors, the best strategy is to proceed with coronary angiography exam. This will definitely clarify all the present coronary lesions and the ongoing management strategy as well. You should discuss with your attending cardiologist on the above mentioned diagnostic strategy. Hope to have been helpful to you.

Hello,

Welcome back to icliniq.com.

Regarding your RCA, I could say that it is hard to predict from the uploaded images whether it is totally occluded or severely narrowed (90 to 99%) because some contrast signs appear even after the long proximal calcified lesions inside RCA. But, what is also as much concerning, seems to be your LAD because as I mentioned before, there seems to be a long calcified lesion in its proximal portion. Just right after the third diagonal (D3), it seems to be a long subocclusive narrowing (99 %), which is very serious and needs to be confirmed by coronary angiography. You should know that coronary angio CT scan is not a very exact test for precisely defining the coronary lesions as it is prone to several potential artifacts (depending on the heart rate, body weight, lung interposition, presence of calcium burden, etc.). Coronary angiography remains the golden standard for all the above-raised suspicions. The extensive calcified signs coupled with the observed narrowing raise suspicions of extensive coronary lesions. I hope that at least some of these findings could be due to artifacts, though the extensive calcific deposits seem to be quite real. I would be glad to review your angiography reports when you perform it. Kind regards.