Friday 9 August 2013

CAROTID DUPLEX SCAN - 5

CAROTID DUPLEX SCAN

FINDINGS:               The present study was compared with the previous study of 06/10/2011.  Correlation was also made with CTA of the carotid arteries performed on 09/20/2011.

On the present study, once again total occlusion of the right carotid system is noted.  The velocity of the blood flow in the left common carotid artery is 122 cm/sec proximally, in the distal left common carotid artery, it is 136 cm/sec.  In the proximal left internal carotid artery, it is 128 cm/sec and in the left distal internal carotid artery, it is 137 cm/sec.  Antegrade blood flow was seen in the left vertebral artery.

The ICA/CCA ratio on the left is 1.01.

IMPRESSION:         About 55% stenosis of left internal carotid artery.  There is apparent discrepancy in comparison with the previous study of 06/10/2011, which showed about 80% stenosis of the left internal carotid artery.  This may be related to the technical factors.  Clinical correlation and further evaluation with catheter-directed angiography is recommended.

Total occlusion of the right internal carotid artery with no significant interval change in comparison with previous study.


Thank you for the referral.
XXXXXXXXX, M.D.

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