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Doctor insights on: Hemodynamically Significant Stenosis

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What does this mean: Impression: Minimal plaque within the right carotid bulb with no Radiology Report hemodynamically significant stenosis.

What does this mean: Impression: Minimal plaque within the right carotid bulb with no Radiology Report hemodynamically significant stenosis.

Good news.: There is only mild hardening of the arteries or plaque in your carotid arteries at this point. Try to keep the plaque from getting worse by stopping smoking and keeping your blood pressure under control. Your doctor will help you. He or she may have you take an aspirin daily depending on your symptoms. If diabetic keep blood sugar under control. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


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Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Focus on risks: Mild and diffuse atherosclerosis at age 46 implies a need to focus on risk factor modification to achieve primary prevention of stroke and enhance vascular protection. Optimize lipids, avoid smoking, cand control sugar and BP issues. ...Read more

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What is the meaning of "no hemodynamically significant valvular aortic stenosis"?

What is the meaning of "no hemodynamically significant valvular aortic stenosis"?

No problem: It means that there is probably some thickening of the valve or very early narrowing of the valve but not enough to actually block blood flow. ...Read more

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When a report says without significant stenosis, does that mean there's some but not enough to matter or there is none at all? Atherosclerosis on ICA

When a report says without significant stenosis, does that mean there's some but not enough to matter or there is none at all? Atherosclerosis on ICA

Not enough to matter: There is almost always some atherosclerotic plaque, even in 20 year olds. Not significant usually means less than 50 % blockage, but it could be much lower. ...Read more

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Can I know what is left cca and left bifurcation atherosclerotic plaque causing less than 50% stenosis. However no significant hemodynamic stenosis?

Left CCA: Left common carotid artery (CCA) and left bifurcation - where the common carotid splits into external carotid (neck/face arteries) and internal carotid (brain arteries) are less than 50% stenosis- narrowed. We only are concerned if more than 70% because only then is there enough disturbance of flow - i.e. hemodynamically significant- to cause problems like strokes. At 505 follow up every year. ...Read more

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Confused Doppler u/s of SMA: Based on the velocities pre and postprandial there is evidence of significant stenosis greater than 70% at the level of the SMA proximally. But CT shows SMA axis is patent??? How is that possible? Next step?

Confused Doppler u/s of SMA: Based on the velocities pre and postprandial there is evidence of significant stenosis greater than 70% at the level of the SMA proximally. But CT shows SMA axis is patent??? How is that possible? Next step?

Evaluating SMA: CT scan great overall study and can reveal bowel wall thickening and causes of ischemia. Infectious or autoimmune colitis (Ulcerative colitis) can mimic mesenteric ischemia. Pre and postprandial doppler ultrasound are effective in evaluating mesenteric flow after a meal but studies show it is not good at detecting venous causes of obstruction. MRI and angiography likely next steps. Good luck. ...Read more

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What does L2-L3 mild disc desiccation without significant stenosis and disc desiccation with mild disc bulge mean?

Degenerative changes: As we age, motion and loading in the spine will begin to wear down the discs, and they get dry (desiccation) shrink top, to, bottom and bulge as the outer rings waken in the disc. Generally it means you need to strengthen your core muscles, lose weight, stand straighter, exercise more to help ease your back pain. ...Read more

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If a patient had minimal irregularity of the right p1 pca segment without significant stenosis on cta angiogram. What would this indicate?

Age over 40.: Sorry, but the majority of people over 40 and 90% by age 50 have some atherosclerosis of coronary arteries by scans. Probably more by catheterization.

worse news. It is not gradually worsening plaque that causes heart attacks but moderate ones breaking apart that causes heart attacks. Not predicatable and only marginally preventable. ...Read more

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L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

Ouch!: You're young to have this, unless you're prior military or did a lot of weight-bearing. Get to your ideal body weight. Strengthen core muscles with physical therapy/Pilates. Try oral NSAIDs & consider short oral steroid burst. No opioids/narcotics - more a curse than blessing. Try a TENS unit, acupunture, tilt table, hot/cold packs & last resort facet joint steroid injections/blocks. Hang in there ...Read more

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How do you treat a combination of cervical bone spurs, stenosis, moderately bulging discs and occluding foramina that are leading to significant pain?

How do you treat a combination of cervical bone spurs, stenosis, moderately bulging discs and occluding foramina that are leading to significant pain?

Conservative: Treatment consists of antiinflammatories, physical therapy, traction, accupuncture, rest. If nothing is working pain management will consider epidurals. Last resort is surgical. ...Read more

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What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

Degenerated disk: This is the description of degenerative disk disease as dictated by a radiologist. This is a very common finding and rarely needs surgery. ...Read more

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I got a letter from the Neurologist, but no one has explained to me what is means. What does "there is minor disc disease at C4/5 and more significant disc protrusion at C5/6 causing thecal stenosis but no direct cord improvement." Mean?

I got a letter from the Neurologist, but no one has explained to me what is means. What does "there is minor disc disease at C4/5 and more significant disc protrusion at C5/6 causing thecal stenosis but no direct cord improvement." Mean?

Standard: Discs degenerate and bulge for virtually everybody over time. The C5-C6 disc is bulging enough that it is indenting the sac that surrounds the spinal cord, but it does not sound as if it is causing severe narrowing of the spinal cord or nerve roots. ...Read more

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Spondylosis and stenosis as well as encroachment on intervertebral foramina at c5/c6 and c6/c7 levels w/ significant cord edema with narrowing most prominent in the saggital diameter. Do I need surg?

Spondylosis and stenosis as well as encroachment on intervertebral foramina at c5/c6 and c6/c7 levels w/ significant cord edema with narrowing most prominent in the saggital diameter. Do I need surg?

Possible: Only neurosurgeon or spine surgeon who saw you and your MRI can answer this question, when taking in consideration physical exam, severity of symptoms and anatomical changes. ...Read more

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Please explain the significance of my recent MRI findings on my cervical spine. I have a history of spinal stenosis in the lower back. I recently had an MRI on my cervical spine showing significant to severe foraminal and thecal sac narrowing at multiple

About 20% of people: With lumbar spinal stenosis will have coexisting cervical spinal stenosis. Spinal stenosis is a narrowing of a bony canal structure such as the central spine canal or the exiting nerve holes known as neuroforamen which when severe enough by imaging studies will be deemed spinal stenosis. ...Read more

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L5 and s 1 stenosis. Is it a permanent condition?

Depends: Lumbar stenosis is typically does not resolve on its own. It usually from hypertrophied ligaments or bones. If, however, stenosis is secondary to a herniated disc, this may resolve on its own. Discs have a fluid-like component which can dessicate over time, and as the disc dries up it lifts pressure off the nerve roots. ...Read more

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Why don't doctors intervene when there is a 70% stenosis?

Why don't doctors intervene when there is a 70% stenosis?

Not always curative: In patients with renal artery stenosis several factors are considered to determine if intervention is indicated. If the kidney is already scarred and small and BP is well controlled with 2-3 medications than angioplasty is not indicated even is stenosis is high grade ie 70 % or above. ...Read more

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What happens if you don't correct pulmonic stenosis in your child?

What happens if you don't correct pulmonic stenosis in your child?

Pulmonary stenosis: Pulmonary stenosis can be mild, moderate or severe depending on echo findings. If mild or moderate pulmonary stenosis, it can be just watched without intervention. If severe, it will need to have ballon inserted in it and dilate it. If severe ps left untreated, it can cause breathing problems and heart failure. ...Read more

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What is stenosis and how is it treated?

Non specific term: Stenosis just means a tightening & is generally used to describe a tubular structure. For any specific discussion of treatment we would first need a better description of what you mean, what the stenosis refers to. Please start over & submit a question with more background information. Questions are not linked. ...Read more

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What is a rectal stenosis? What are the symptoms?

What is a rectal stenosis? What are the symptoms?

Try this link...: Anal stenosis, also known as an anal stricture, is the narrowing of the anal canal, located just before the anal sphincter. Read more at: http://www. Ddc. Musc. Edu/public/symptomsDiseases/diseases/colon/analStenosis. Html ...Read more

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What is the definition or description of: stenosis?

Stenosis: Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small intestine (called pyloric stenosis). ...Read more

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What causes spinol stenosis? Could it come from car accidents?

Many causes: There are many possible causes. It can be congenital from having a small spinal canal, it can be related to trauma, or it can just be degenerative from years of stress put on your back by day to day activities. Some of this can be determined by the appearance of the stenosis but some can't. ...Read more

Dr. Chad Levitt
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more