BILATERAL CAROTID ANGIODYNOGRAM

BILATERAL CAROTID ANGIODYNOGRAM

FINDINGS:               A bilateral carotid angiodynogram was performed.  Duplex velocity measurements, gray scale evaluation, and color-flow evaluation, along with real-time B-flow evaluation of the vasculature, was obtained.

There is approximately a 25-30% stenosis on the right and a 40% stenosis on the left.  The velocity measurement on the right is 118 with ratio of 1.08 and on the left is 91 with ratio of 0.92.  There is no significant occlusion.  The remainder of the visualized external and common carotid arteries, and proximal subclavian arteries show no significantly elevated velocity measurements to suggest critical stenosis.

If there is any further clinical concern, CTA or MRA evaluation may be considered.

IMPRESSION:          25-30% stenosis on the right and 40% stenosis on the left.  If there is any further concern, would recommend clinical correlation and further evaluation as clinically necessary.

Thank you for the referral.

XXXXXXXXX, M.D.