CT Angiogram - Hypoplastic Vertebral, Subclavian
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Text of CT Angiogram - Hypoplastic Vertebral, Subclavian
- 1. Dr Jishanth M Prof P Chitrambalams Unit Stanley Medical College
- pain suggestive of claudication of left upper limb 2years
- Episodic head ache -2 weeks
- Past history of monoparesis of left upper limb 10 years back
- Married 13 yrs back, one child, h/o induced abortion 2 yrs back
- No pallor, jaundice, cyanosis
- Regular, normal in volume and character
- Absent on left UL( both radial and brachial pulses absent)
- Other peripheral pulses normal
- R UL 120/80 L UL not recordable
- s1, s2 normal ,No murmers
- Subclavian bruit + on Left side
- No renal bruit, no femoral bruit
- No motor orsensory deficit
- X ray cervical spine normal
6. 7. 8.
- Cardiac evaluation was normal
- Echo was normal with normal LV systolic function
- No evidence of great vessel disease
- Ophthalmology evaluation normal
- CT PNS- mild DNS to left, bilateral maxillary, ethmoidal and sphenoidal sinusitis
9. 10. 11. 12. 13. 14. 15.
- Hypoplastic left vertebral artery
- Right upperlimb vessels normal
- Left subclavian artery appears hypoplastic from its origin ( 3mm in diameters)
- Thin stream of contrast noted in theproximal left axillary arterywith suspicious thickening of its wall.
- Distal axillary artery is reformedthrough chest wall collaterals.
- Brachial artery appears normal with normal radial and ulnar arteries.
- Superficial and deep palmar arch formed normally.