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Coronary artery disease

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References
    Cardiac CT reveals high-grade stenoses and high-risk plaques in a 58-year-old male. Expert CAD-RADS™ 2.0 interpretation and imaging protocol included.

    1. Patient Presentation

    • A 58-year-old male patient with a history of hyperlipidemia and arterial hypertension was admitted to the Cardiology Department for evaluation of newly developed atypical chest pain.
    • The physical examination and laboratory results revealed no abnormalities. The patient’s symptom history was considered unspecific, with a low clinical likelihood of a coronary origin.
    • Given the patient’s clinical history and the risk-factor profile, a cardiac CT was performed to rule out or to confirm obstructive coronary artery disease.
    • Cardiac CT, calcium scoring, and CT angiography were performed in accordance with the current European Society of Cardiovascular Radiology recommendations, with reporting based on the CAD-RADSTM 2.0 system.
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