Doctor insights on:
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
No evidence of hemodynamically significant stenosis on either side. 50% stenosis right internal carotid artery, 50-69% left. What could I expect next?
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
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
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
Choles good, triglyc good, bp120/80, stresstst:+ischemia at 8.5mets, ctangio: mixd plaque no stenosis, accdg to radio&cardio not significant. Shld I wory?
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
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
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
2.5mm sized nondominant artery with focal significant (70)% stenosis, distal to 1st rv branch;mixed wall plaque for length of 7mm rest of rca is normal?
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
How do you treat a combination of cervical bone spurs, stenosis, moderately bulging discs and occluding foramina that are leading to significant pain?
What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?
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?
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?
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
What could be the cause of mild spinal stenosis at L5/S1 level in a 26-y male with a history of vitamin D deficiency and no significant trauma?
Born with it: Joe Montana, my favorite football player, had it too. ...Read more
My husband is 45 yrs of age. CT coronary angiography reveals significant short segment stenosis In mid circumflex. No stenosis in rest of the arteries?
Possible...: Isolated lesions are possible.......the test only picks macroscopic lesions bigger than crtain size. ...Read more
Ct corn angio- norm myocardial morphology/function. No plaque/stenosis. Mild myocardial bridge mid of LAD w/o significant attenuation of vessel. Explain?
Coronary angio: Simplest answer to your question is it is normal....Myocardial bridge without attenuation of vessel is normal variant. ...Read more
Had median arcuate ligament release surgery. 2 month follow up duplex US still shows severe high grade stenosis of celiac artery as well as significant velocities of SMA. Can that cause orthostatic hypotension, dizziness, and abd pain?
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
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
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
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
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
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
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- Definition of hemodynamically significant stenosis
- What does proabable hemodynamically significant stenosis mean?
- Definition of hemodynamically significant
- Paracentral focal disc protrusion is identified without significant canal or neural foranimal stenosis
- No significant lympohadenopathy
- Nonhemodynamically significant plaque
- Significant disc herniaition
- What does hemodynamically significant stenosis mean?