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Worried about test results

by kelangel2006, May 26, 2007 12:00AM
I had to have a CT angiogram because of heart pain, shortness of breath, high blood pressure, passing out and so forth. On the ct report it said that the other findings which may be associated with chest discomfort include extensive calcified granulomatous disease of the lungs and coronary artery disease.

What is extensive calcified granulomatous disease? I can't find anything on it at all. What is it? Is it emphysema or is it related to emphysema?

Also under Coronaries:

L.Main: Normal
LAD: >70% proximal stenosis (soft plaque), >70% mid stenosis (mixed plaque)
Int/Diag: Normal
L. Circ: >70% proximal stenosis (soft plaque)
OM:  Normal
RCA: Normal
PDA: >70% mid stenosis ( mixed plaque)

Summary:
The patient has potentially significant coronary disease with a 95% estimated likihood of a flow-limiting lesion. With consideration of the patient's age and symptoms, along with the extent of desease, cardiac catheterzation should be considered ( if clinical situation agrees). Because imaging reveals areas of fresh lipid-laden plaque in the coronary arteries, more aggressive cholesterol-lowering therapy may be indicated.

Total Plaque Burden:
Moderate with a cardiac event risk that is increased four-fold compared to an age-matched patient with no heart disease.

This patient is a white male of 52 years.

What does the LAD, L.Circ., and the PDA results mean?  Can you explain it better to me what the summary and total plaque burder mean too.

I would really appreciate your help in this matter.

Best regards,
Kellie
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