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What Does This Chest CT Scan Report Indicate?

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Posted on Wed, 6 Sep 2017
Question: I just had a chest CT and here are the results:

Vascular structures: There is a 4.1 cm ascending thoracic aortic anuerysm. There is prominence of aortic root which measures 4.1 cm

Heart: There are mild coronary artery calcifications. There is a small amount of pericardial fluid anteriorly.

Is there anything that has be done acutely? Is there anything that can be done for improvement?

Thank you.
doctor
Answered by Dr. Ilir Sharka (22 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Considering your referred chest CT findings, I would explain that it is just a mild ascending aorta dilation and it doesn't impose any dangerous health situations.

There are several reasons why the aorta dilates like: persistent uncontrolled hypertension, numerous connective tissue disorders, aortic valve disease, certain infectious diseases, etc..

The most frequent reason is uncontrolled hypertension.

Coming to this point, it is necessary to closely monitor your blood pressure values and perform follow up cardiac ultrasound and even chest CT scan if necessary.

I would like to directly review your thoracic CT scan report for a more professional opinion.

I remain at your disposal for any other questions!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (9 minutes later)
Hi Dr I.
How do I go about getting the scan to you? I do have the CD from the lab.

Also, in regard to blood pressure, it has always been excellent between 110/70 to 120/80. So that has not been a problem. Must be something else.
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Regarding the CD, I am afraid that it is a lot of material and you will not be able to upload it on this site. But, I would be happy if you can upload your chest CT scan report as a pdf or image!

From the other hand, as you do not suffer from uncontrolled high blood pressure, I would recommend considering a possible connective tissue disorder as a possible cause of these changes. Consulting with a specialist of this field could be helpful.

Anyway, follow up with cardiac ultrasound every 6-12 months, would help investigate monitor these changes and their possible progression. As I explained above, these findings are not indicative of any serious medical disorder.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9534 Questions

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What Does This Chest CT Scan Report Indicate?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Considering your referred chest CT findings, I would explain that it is just a mild ascending aorta dilation and it doesn't impose any dangerous health situations. There are several reasons why the aorta dilates like: persistent uncontrolled hypertension, numerous connective tissue disorders, aortic valve disease, certain infectious diseases, etc.. The most frequent reason is uncontrolled hypertension. Coming to this point, it is necessary to closely monitor your blood pressure values and perform follow up cardiac ultrasound and even chest CT scan if necessary. I would like to directly review your thoracic CT scan report for a more professional opinion. I remain at your disposal for any other questions! Kind regards, Dr. Iliri