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Give me detailed report with impressions

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RADIOLOGY REPORT

Institution: CHL Hospital, Indore Modality: CT Angiography - Lower Extremity Runoff (16-Channel, labeled as 1.5 Tesla MRI on film header, but imaging parameters - kV 100, slice 0.98/0.6 mm, W=968 L=169 - are consistent with CTA) Reconstruction: Curved Planar Reconstructions (CPR), three panels Laterality: Right lower extremity Date of Study: July 24, 2026

TECHNICAL QUALITY

The study is of diagnostic quality. Three CPR panels are displayed, each tracing a different branch of the right lower extremity arterial tree from the pelvic level down to the foot. Window settings (W=968, L=169) and slice parameters (0.98/0.6 mm) are appropriate for vascular evaluation.

VESSEL-BY-VESSEL FINDINGS

Right Iliac Artery (RT. ILIAC A.)

  • Visualized at the proximal extent of all three panels
  • Demonstrates a continuous, robust column of contrast
  • No gross stenosis, aneurysmal dilatation, or filling defect identified at this level

Right Superficial Femoral Artery (RT. SFA)

  • Traced along the full length of the thigh in all three panels
  • Appears patent with continuous contrast opacification
  • Vessel wall appears smooth without significant irregularity or calcification-related narrowing identified on these projections

Right Popliteal Artery (RT. POPLA.)

  • Visualized at and just below the level of the knee
  • Appears patent with maintained luminal caliber
  • No evidence of aneurysm or significant focal stenosis on these views

Right Peroneal Artery (RT. PERONEAL A.) - Panel 2 (middle)

  • Visible in the leg segment
  • Appears to show contrast flow; continuity into the foot/ankle region requires confirmation on source axial images
  • Vessel is present and opacified

Right Posterior Tibial Artery (RT. PTA) - Panel 3 (right)

  • Identified in the leg segment
  • Appears patent with visible contrast column
  • Runs toward the foot region

IMPRESSIONS

  1. Right Iliac Artery - Patent. No significant proximal inflow disease identified on these views.
  2. Right Superficial Femoral Artery (SFA) - Appears patent throughout its course without evidence of significant hemodynamically significant stenosis or occlusion on CPR reconstructions.
  3. Right Popliteal Artery - Patent. No aneurysm or critical stenosis identified.
  4. Right Peroneal Artery - Demonstrable with contrast opacification. Appears patent on this projection.
  5. Right Posterior Tibial Artery - Visible with contrast opacification. Appears patent on this projection.
  6. Overall Assessment: The right lower extremity arterial system from the iliac level to the tibial vessels appears to show maintained patency on these CPR projections. No gross occlusion, high-grade stenosis, or significant aneurysmal disease is identified.

IMPORTANT LIMITATIONS & RECOMMENDATIONS

This is an image-based visual analysis and NOT a formal radiological report. The following limitations apply:
  • Only three CPR panels are visible - axial source images, MIP (Maximum Intensity Projection), and 3D volume-rendered reconstructions are not available for review
  • The image is photographed at an angle, which may obscure fine vessel detail
  • Minor or moderate stenoses, calcified plaques, or subtle filling defects may not be fully assessable from CPR views alone
  • Distal runoff into the foot (dorsalis pedis, plantar vessels) is not clearly assessable in the provided image
  • Formal reporting by a qualified vascular radiologist or interventional radiologist is required for clinical decision-making, surgical planning, or intervention

This report is generated for informational purposes only and does not constitute a formal medical diagnosis or treatment recommendation. All findings must be correlated clinically and reviewed by the treating physician and a board-certified radiologist.
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