Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): A chest enhancement CT+CTA was done a few days ago. At the end of the first month of the beginning of the year, the physical examination had high blood sugar, high blood lipids, fasting blood sugar of 15.6, diabetes +++, blood lipids of 19 and high blood pressure, which was more than 160. My height is 191, and my original weight is about 225. After finding that my blood sugar was high, I didn’t use hypoglycemic drugs. I only used lifestyle intervention + weight loss. My blood sugar dropped a lot in February, but it was still slightly higher. From March this year to now , Blood glucose is measured basically every day, between 4.5-6 on an empty stomach, between 5.5-7 after a meal, all are normal. I have never taken hypoglycemic drugs, but I am taking lipid-lowering drugs, rosuvastatin, and blood pressure is clear. It was about 142 at the time, but it was 152 in the hospital yesterday. Now he often walks, about 5 kilometers, and his weight is now 200.
Yesterday, I took the film and looked at the director of the Department of Cardiology in other tertiary hospitals. He didn’t say anything. I asked him what degree of my aortic sclerosis was, mild or severe, he said mild, and asked him if he had blood clots, whether he should take aspirin, and he said no, no need to take it. But he just looked at the results of my examination and didn’t look at the CT film. I said you should look at the film. He said you don’t need to. I haven’t had time to check the checklist of work.
I would like to ask, can I be sure that I am mild by looking at the report without watching the film? Can the chest enhanced CT and CTA show whether there is a thrombus? Can you detect mild or severe? If I am mild, please pass
Question date: 2021-04-18
Patient information: Age: 30 years old Gender: Male
Problem analysis: Hello, I am your doctor. According to the results of the examination, it is suggested that your aortic sclerosis is not serious.
Guidelines: There is no thrombosis, and it is recommended to lose weight. , Low-greasy diet, low-salt and low-fat diet
Suggestions are for reference only. If the problem is serious, please go to the hospital for detailed examination