Friday, March 30, 2012

Carotid Doppler- format or template- carotid plaque


Color Doppler ultrasound study of the carotid arteries was done:
Template for color Doppler study- carotid plaque
  

RT. CCA
RT. ICA
RT. ECA
LT. CCA
LT. ICA
LT. ECA
Normal PSV (reference) cms./sec      
< 100
54-88
77-115
<100
54-88
77-115
 PSV
Cms/sec.
87
38
49
69
52
68
EDV
End diast. vel. (cms./sec.)
24
8
2
13
22
12
ICA/CCA PSV ratio (normal= <2)







% of stenosis






PLAQUE APPEARANCE




1.7 mm.
Plaque

IMT (intima medial thickness). Normal= <0.9 mm.
0.7 mm.


0.8 mm.





RT. VERTEBRAL ART.
LT. VERTEBRAL ART.
PSV (cms./sec)


DIRECTION
Antegrade
Antegrade









OPINION:
USG scan suggests  No evidence of stenosis in carotid arteries, vertebral arteries of both sides.
Normal intima-medial thickness seen in common carotid arteries.
Normal flow seen in carotid and vertebral arteries.
A small plaque of 1.7 mm. thickness seen in 2 mm. area of the lateral aspect of the left internal carotid artery close to origin. No significant stenosis is present.

SUGGEST: clinical correlation and follow up.
CT or MRI angiography may be done to confirm these findings.

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