HEART RATE RHYTHM:
68 bpm
MEDICATION mg of IV metoprolol:
5 mg
ANGIOGRAM ONLY DOSE in mGycm:
850 mGycm
IMAGE QUALITY:
Good, without significant motion artefact.
CALCIUM SCORE (AJ-130)
TOTAL:
120 Agatston units
LMS:
0 Agatston units
LAD:
75 Agatston units
LCx:
30 Agatston units
RCA:
15 Agatston units
AORTIC VALVE CALCIUM:
5 Agatston units
MITRAL VALVE CALCIUM:
0 Agatston units
CORONARY ARTERY DOMINANCE:
Right
LMS:
No significant stenosis identified.
LAD / DIAGONALS:
Mid-LAD with 40% stenosis. First diagonal artery patent.
LCx / MARGINALS:
Proximal LCx with mild non-calcified plaque, less than 20% stenosis. Obtuse marginal arteries patent.
RCA / PD:
Proximal RCA with 25% stenosis. PDA and PL branches patent.
RAMUS INTERMEDIUS:
Not present.
OTHER VESSELS:
Pulmonary arteries appear unremarkable.
CARDIAC MORPHOLOGY:
Left ventricle chamber size within normal limits, wall thickness 10 mm. Normal global left ventricular function.
EXTRA-CARDIAC FINDINGS:
Small hiatal hernia, 2 cm. Lungs clear.
CAD-RADS:
3
CONCLUSION:
Non-obstructive coronary artery disease involving the LAD and RCA. Overall good cardiac function. Follow-up recommended.
HEART RATE RHYTHM:
[Heart rate value in bpm] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
MEDICATION mg of IV metoprolol:
[IV metoprolol dose in mg] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
MEDICATION mg of PO metoprolol:
[PO metoprolol dose in mg] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
ANGIOGRAM ONLY DOSE in mGycm:
[Angiogram dose in mGycm] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
IMAGE QUALITY:
[Image quality description] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
CALCIUM SCORE (AJ-130)
TOTAL:
[Total calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
LMS:
[LMS calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
LAD:
[LAD calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
LCx:
[LCx calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
RCA:
[RCA calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
AORTIC VALVE CALCIUM:
[Aortic valve calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
MITRAL VALVE CALCIUM:
[Mitral valve calcium score in Agatston units] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
CORONARY ARTERY DOMINANCE:
[Coronary dominance type: left / right / co-dominant] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
LMS:
[LMS anatomical and stenosis description] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
LAD / DIAGONALS:
[LAD and diagonal artery findings including stenosis percentages if provided] (Only include if explicitly mentioned; otherwise omit entirely.)
LCx / MARGINALS:
[LCx and marginal artery findings including stenosis percentages if provided] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
RCA / PD:
[RCA, PDA and PL branch findings including stenosis percentages if provided] (Only include if explicitly mentioned; otherwise omit entirely.)
RAMUS INTERMEDIUS:
[Ramus artery description] (Only include if explicitly mentioned; otherwise omit entirely.)
OTHER VESSELS:
[Other vessel description] (Only include if explicitly mentioned; otherwise omit entirely.)
CARDIAC MORPHOLOGY:
[Cardiac morphological findings including chamber size, wall thickness in mm, or function if described] (Only include if explicitly mentioned; otherwise omit entirely.)
EXTRA-CARDIAC FINDINGS:
[Extra-cardiac findings including measurements in mm or cm if provided] (Only include if explicitly mentioned; otherwise omit entirely.)
CAD-RADS:
[CAD-RADS score: 0, 1, 2, 3, 4a, 4b, 5, N, G, HRP, P1–P4, S, E] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
CONCLUSION:
[Conclusion text in full sentences] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
(Global instructions: Use UK spelling. If dates appear in MM YY format, convert to numerical month and four-digit year without adding a day, only if explicitly stated. Do not create dates. Replace measurements using the word “by” with “x.” If explicit contradictions (left vs right, superior vs inferior, positive vs negative) appear in the transcript, highlight them in CAPITALS. Replace the dictated word “query” with “?”. Use “mm” and “cm” instead of millimetres/centimetres. When multiple structures are described as normal and this grouping is explicitly stated, list them together. Use hyphenated bullet points when lists are dictated. Use present tense for current CT findings and past tense for prior findings only if dictated. Avoid using phrases such as “is seen” unless stated. Use numeric staging or lymph node levels when explicitly dictated. If a female patient is described and prostate is also described, highlight “CHECK SEX OF PATIENT”; likewise highlight “CHECK SEX OF PATIENT” if male patient is associated with gynaecological organs. Never infer or create information; only include what is explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit entirely.)
