Interpret
This is a CT Coronary Angiography (CTCA) report for Mr. Pavan Saxena, a 45-year-old male, performed at Medanta on 10 June 2026. Here is a plain-language interpretation:
Key Findings
Coronary Arteries
| Vessel | Finding |
|---|---|
| Left Main (LM) | Normal |
| LAD (Left Anterior Descending) | Minor soft plaques in proximal & mid segments - causing luminal irregularity |
| Diagonal arteries | Normal |
| Circumflex (LCx) | Normal - no plaque or stenosis |
| Obtuse Marginals | Normal - no plaque or stenosis |
| Posterior Left Ventricular Branch | Normal |
| RCA (Right Coronary Artery) | Minor soft plaques in proximal & mid segments - causing luminal irregularity |
| Posterior Descending Artery | Normal - no plaque or stenosis |
Heart Function & Structure
- Ejection Fraction: 67% - This is normal (normal range is ≥55%). The heart is pumping well.
- Calcium Score: 0 - No calcified plaque detected. This is a very favorable finding.
- Pericardium: Normal (no fluid or thickening)
- Aortic and mitral valves: Normal
- Aortic root: Normal
What Does This Mean?
-
Soft plaques (non-calcified) are present in two major arteries (LAD and RCA). These are early, "soft" fatty deposits in the artery walls. They cause mild roughening of the inner vessel wall (luminal irregularity) but are not causing any significant blockage or stenosis.
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Calcium score of 0 means there is no hardened/calcified plaque. This is reassuring - a zero calcium score carries a very low short-term risk of a heart attack.
-
No significant coronary artery disease (CAD) is present at rest. The heart muscle function is preserved (EF 67%).
-
The overall picture is early atherosclerosis without obstructive coronary disease - sometimes called "non-obstructive CAD."
Clinical Significance
- This is an early warning sign that atherosclerosis has begun, even though no significant blockage exists yet.
- Soft plaques can be vulnerable (prone to rupture) despite causing minimal narrowing, which is why clinical correlation is emphasized.
- The report advises: "Please correlate clinically" - meaning the treating cardiologist should assess this alongside symptoms, risk factors (blood pressure, cholesterol, diabetes, smoking, family history), and decide on further management.
Typical Next Steps (to discuss with the treating doctor)
- Lifestyle modification: heart-healthy diet, regular exercise, smoking cessation if applicable
- Lipid profile check: statins may be considered to stabilize soft plaques
- Blood pressure & blood sugar control
- Repeat imaging in a few years to monitor progression
- The cardiologist (Dr. Praveen Chandra) will integrate this with the full clinical picture
Disclaimer: This is an educational interpretation only. All medical decisions should be made by the treating physician.
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