Memorial Medical Center CIMT Report Patient Name: Donahue, Jack Study Date: 3/16/2014 Outpatient Gender: M BP: 126/88 Patient ID: 12345 Referring MD: Shirley Simmons, MD Technologist: Karen Allen, RDCS DOB, Age: 10/2/1963, 50 yr Indications: Bilateral bruits Images Images Carotid IMT CIMT is the same as that for an average man aged 63 Findings Carotid Rt CCA: Right CIMT - 0.80 mm Carotid Lt CCA: Left CIMT - 0.65 mm Summary Bilateral intimal lining in the distal common carotid, internal and external carotid artery. The calculated vascular age is not consistent with the patients age. Right CIMT consistent with a vascular age of 63 years old. Recommend follow up - Carotid Duplex Ultrasound for full evaluation _____________________________________ Nathan Reed, MD Donahue, Jack 03/16/2014 12345 CIMT Report Page 1
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Memorial Medical Center - Digisonics IncCommon Fem B T Superficial Fem M B Popliteal M B Posterior Tibial M B Dorsalis Pedis M B Anterior Tibial M B M = Monophasic B = Biphasic T =
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Indications: Left leg edema, varicose veins, painHistory/Clinical: History of Left leg DVTProcedure: LE Venous - Bilateral, Right Lower Extremity RefluxPrevious Study: Date: 12/08/2013
Rt Reflux: Evaluation of the deep and superficial system of the right lower extremity is performed and appears to have no evidence of venous thrombus or insufficiency. Normal phasic flow and compressibility is demonstrated. Reflux analysis indicates normal valvular function.
Lt Reflux: Venous insufficiency evalution of the superficial system demonstrates reflux disease in the proximal to distal GSV. moderate varicosity is identified within the lateral thigh, knee, and calf associated with the GSV.
Summary
Technically adequate 2D, Doppler and color-flow exam performed. significant venous insufficieny is noted in the left greater saphenous vein. Recommend endovenous laser ablation procedure.
Internal Jugular R Y Y Y NInnominate R Y Y Y NSubclavian R Y Y Y NAxillary R Y Y Y NBrachial Upper R Y Y Y NBrachial Mid R Y Y Y NBrachial Antecube R Y Y Y NRadial Antecube R Y Y Y NRadial Forearm R Y Y Y NInternal Jugular L Y Y Y NInnominate L Y Y Y NSubclavian L Y Y Y NAxillary L N N N YBrachial Upper L N N N YBrachial Mid L N N N YBrachial Antecube L Y Y Y NRadial Antecube L Y Y Y NRadial Forearm L Y Y Y N
Y = Yes i = Reduced N = No P = Partial = Erase
Thrombus
Summary
Rt Upper Ext: No evidence of acute or chronic thrombosis noted in the deep or superficial veins. The contralateral Subclavian vein was assessed and found to be patent.Lt Upper Ext: Left Axillary through mid Brachial vein not compressible and flow cannot be augmented. Consistent with Venous Thrombus in Left Upper Extremity.
Common Fem B TSuperficial Fem M BPopliteal M BPosterior Tibial M BDorsalis Pedis M BAnterior Tibial M BM = Monophasic B = Biphasic T = Triphasic C = Continoush = Increased i = Decreased = Erase = Spare
Images
Donahue, Jack 03/12/2014 12345LE Arterial Report Page 1
Summary
On the right side, the ankle brachial index is 0.6. Severe pressure reduction indicate probable obstructive disease of the superficial femoral artery. On the left side the ankle brachial index is normal at 0.90. In conclusion, the study is abnormal, suggestive of moderately severe arteriosclerotic right lower extremity disease.