For CTA HEART,ARTERY,BYPASS GRAFT W/CONTRAST, 96 ML of ISOVUE 370 administered POWER INJECTOR
CT CORONARY ANGIOGRAM, 3/1/2011:
IMPRESSION: There is no significant coronary artery disease.
CLINICAL HISTORY: Atrial fibrillation and patient on Sotolol 80 mg.
INDICATIONS: Rule out coronary artery disease.
TECHNIQUE: This imaging study was accomplished using a 64 slice Toshiba Aquilion MD CT scanner. Prospective and retrospective EKG gated images of the heart were obtained from the level of the carina to the base of the left ventricle. Volumetric acquisition was performed. Volumetric reconstructed and curved planar reformatted images were reconstructed. Vessel analysis was performed at the Vitrea workstation. 5.0 mg of Metoprolol was given intravenously before the examination. Heart rate during the scan was slightly irregular. Total 96 cc of Isovue 370 non-ionic intravenous contrast was given at 5 cc per second with 18 gauge Angiocath needle. Bolus chase of 40 cc of saline was also given at 5.0 cc per second. One tablet of nitroglycerin was given sublingually just prior to the intravenous contrast administration.
Calcium scoring: Calcium scoring by Agatston method equals 0.
Coronary Angiography: The anatomy of the coronary arteries are normal and best illustrated on the reformatted images. There is right sided dominance demonstrated.
Left Main: There is no evidence of calcified or non-calcified coronary plaque.
Left Anterior Descending: There is no evidence of significant calcified or non-calcified coronary plaque formation.
Left Circumflex: There is no evidence of significant calcified or non-calcified coronary plaque formation.
Right Coronary Artery: There is no evidence of significant calcified or non-calcified coronary plaque formation.
Other Findings: No abnormal filling defect is demonstrated in the pulmonary arteries. Visualized thoracic aorta is normal in caliber and contour. Visualized lung fields demonstrate no focal nodule nor infiltrates.
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