Visit No :112501110028 UID :2852829

Reg. Date :11/Jan/2025 09:43AM Report Date :11/Jan/2025 02:13PM

Patient Name : GEETA DEVI (73 YRS/Female)
Referred By :Dr. sunita vashishat

CT CORONARY ANGIOGRAPHY
The examination was conducted on a 128 slice multidetector CT (MDCT) scanner using retrospective ECG gating with acquisition of axial 3D
volumetric dataset from aortic root to cardiac base. Coronary analysis was done with curved multiplanar reformats (cMPR) and correlated with
maximum intensity projections (MIP) and volume rendering technique (VRT). Non contrast ECG gated scan for calcium score was also done.
Non-ionic IV contrast (60ml of Omnipaque 300mg/ml) was administered using pressure injector at the rate of 5.8 ml/s. No contrast reaction
was observed.

Clinical profile: Complaints of breathing difficulty and chest pain.

CT coronary angiography study findings are follows:

Total Calcium score = 305

Dominant Artery : Right Coronary Artery.

Left Main Artery : Normal in course, caliber and contrast opacification.

No luminal compromise or atherosclerotic plaque is
present.

Left anterior Descending : Type-III. Terminal LAD shows step artefacts. The
Artery proximal & mid LAD shows eccentric calcific plaque
without luminal compromise. Remaining LAD is also
normal in caliber and contrast opacification. No
luminal compromise is present.
Diagonal branches are normal and D2 & D3 are
good caliber vessel.

Left Circumflex Artery : Normal in course, caliber and contrast opacification.

No mural plaque or focal luminal stenosis seen.
Marginal branch is good caliber vessel. Dense
calcific plaque present in proximal OM1 causing
minimal luminal compromise. Remaining OM1 is
normal.

Right Coronary Artery : Few mixed plaques present in mid & distal RCA
without luminal compromise. RCA is otherwise
normal in caliber and contrast opacification. No

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 Visit No :112501110028 UID :2852829
Reg. Date :11/Jan/2025 09:43AM Report Date :11/Jan/2025 02:13PM
Patient Name : GEETA DEVI (73 YRS/Female)
Referred By :Dr. sunita vashishat

luminal compromise is present.

PDA is normal. PLV is thin caliber vessel.

IMPRESSION: CT angiography features are suggestive of dense calcific plaque in proximal OM1 causing
minimal luminal compromise, remaining coronary arteries are normal, as described above.
CAD-RADS : 1
Please correlate clinically.

DR. PRATIBHA S. SHAD, MD (AIIMS) DR. ANURAG BATTA, DMRD DR. VIKASH KUMAR AGARWAL, DMRD,
DMC NO. 31619 DMC NO. 16423 FRCR
DMC. NO. 39393

DR. HARSH MAHAJAN, MD DR. JATIN DHINGRA, MD DR. DAIZY GARG, MD, DNB
DMC NO. 21974 DMC NO. 14956 DMC NO. 12161

Note:
1. CT coronary angiography study is only a screening tool for coronary artery disease, the results of which should be correlated clinically and with other
investigations.
2. Calcifica on in coronary arteries can affect the accuracy of results since the luminal details are obscured by dense calcium, with tendency for over‐es ma on of
stenosis.
3. High heart rate (more than 70 bpm) can also adversely affect the accuracy of results by producing mo on ar facts in images, which can simulate stenosis or result
in over-estimation of luminal narrowing.
4. Inadequate breath‐hold during image acquisi on also impairs the accuracy by producing mo on ar facts, which can simulate stenosis or result in over‐
estimation of luminal narrowing.
5. Please correlate the measurements on typed report with the images and in case of any discrepancy/doubt, please contact us immediately. This is only a professional opinion and
should be correlated clinically. Not for Medico legal purpose.

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 Visit No :112501110028 UID :2852829
Reg. Date :11/Jan/2025 09:43AM Report Date :11/Jan/2025 01:27PM
Patient Name : GEETA DEVI (73 YRS/Female)
Referred By :Dr. sunita vashishat

ECHOCARDIOGRAPHY & COLOR DOPPLER REPORT

Quality of imaging : FAIR

MEASUREMENTS ABSOLUTE VALUE NORMALS

ABSOLUTE /M2
Aortic root diameter 32.2 20 -37 mm < 22mm /M2
Aortic valve opening Normal
Left atrial dimension 36.2 19 -40 mm < 22 mm /M2
RV Dimension Normal 07 -26 mm
RV Thickness Normal 03 -09 mm
LV ED Dimension 54.3 37 -56 mm < 32 mm /M2
LV ES Dimension 31.1 22 -40 mm
IVS Thickness 11.8 05 -11 mm
LVPW Thickness 14.9 05 - 11 mm
IVS / LVPW Ratio Normal
Mitral Valve

INDICES OF LV FUNC.
EPSS Normal < 9 mm
FS % Normal 24 - 42 %
LV Ejection fraction 60% >55 %

IMAGING: (FAIR ECHOGENIC WINDOW)

· LA/LV/RA/RV are all normal in size.
· Concentric LVH.
· Mitral and aortic valves are essentially normal
· Mild MR,Trivial TR (PASP : 21mmHg +RAP)
· LV diastolic dysfunction (grade II).
· Normal LV systolic function noted
· No RWMA; LVEF=60%
· RV function is fair.
· Normal pericardium noted

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 Visit No :112501110028 UID :2852829
Reg. Date :11/Jan/2025 09:43AM Report Date :11/Jan/2025 01:27PM
Patient Name : GEETA DEVI (73 YRS/Female)
Referred By :Dr. sunita vashishat

RWMA - Absent.

DOPPLER:

MV 0.69 m/sec MR 2/4

TV 2.30 m/sec TR 1/4
AV 1.29 m/sec AR 0/4
PV 0.59 m/sec PR 0/4
E/e ratio Normal

COLOUR FLOW MAPPING:

· Mild MR,Trivial TR (PASP : 21mmHg +RAP)

FINAL IMPRESSION:
· Concentric LVH.
· Mild MR,Trivial TR
· LV diastolic dysfunction (grade II).
· Normal LV systolic function noted
· No RWMA; LVEF= 60%

Dr.ManishaRaza
Consultant- NIC (Cardiology)
DMC 49552
Note: Echocardiography report given is that of the procedure done on that day and needs to be assessed in conjunction with the clinical
findings. No record of this report is kept in the hospital. This is not for medico-legal purposes. Please correlate the measurements on typed
report with the images and in case of discrepancy/doubt, please contact us immediately. This is only a professional opinion and should be
correlated clinically

*** End Of Report ***

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