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Coronary CT Angiography Findings in Patients Without Coronary Calcification

Jason L. Kelly1, David Thickman2, Simeon D. Abramson1, Pei R. Chen1, Stanley F. Smazal1, Matthew J. Fleishman1 and Sharmila C. Lingam1

1 Thoracoabdominal Imaging, Radiology Imaging Associates, 10700 E Geddes Ave., Ste. 200, Englewood, CO 80210.
2 Nighthawk Radiology Services, Coeur d'Alene, ID.


Figure 1
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  		Fig. 1A —52-year-old man with increased fatique on long-distance runs. Coronary CT angiography image shows large soft plaque (between arrows) that is causing severe stenosis in the left main coronary artery.

 

Figure 2
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  		Fig. 1B —52-year-old man with increased fatique on long-distance runs. Corresponding coronary angiogram shows severe stenosis of the left main artery (arrow). The patient went on to have a stent placed.

 

Figure 3
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  		Fig. 2A —56-year-old woman who presented for coronary CT angiography because of a strong family history of heart disease. Curved reformatted image from coronary CT angiography shows a large soft plaque in mid left anterior descending artery (arrow).

 

Figure 4
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  		Fig. 2B —56-year-old woman who presented for coronary CT angiography because of a strong family history of heart disease. Corresponding catheter angiogram (arrow points to region of plaque seen on coronary CT angiography) did not identify this plaque. In retrospect, there may be mild narrowing in region of plaque on angiography.

 

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