Question 2388
{"accessible":false,"alternatives":[{"id":11770,"text":"low attenuation plaque and myocardial bridging"},{"id":11772,"text":"napkin ring sign and positive remodelling"},{"id":11771,"text":"severe coronary stenosis and high calcium score"},{"id":11769,"text":"spotty calcification and reverse attenuation"}],"archived":false,"correctAlternativeId":11772,"explanation":"\u003cp\u003eThe four commonly described high-risk plaque features are:\u003c/p\u003e\u003col\u003e\u003cli\u003e\u003cstrong\u003espotty calcification:\u003c/strong\u003e\u0026nbsp;calcific plaque foci measuring no more than 2-3 mm\u003c/li\u003e\u003cli\u003e\u003cstrong\u003enapkin ring sign:\u003c/strong\u003e\u0026nbsp;low attenuation plaque core with rim-like area of high (non-calcific)\u0026nbsp;attenuation\u003c/li\u003e\u003cli\u003e\u003cstrong\u003elow attenuation plaque:\u003c/strong\u003e\u0026nbsp;low attenuation plaque measuring \u0026lt;30HU\u003c/li\u003e\u003cli\u003e\u003cstrong\u003epositive remodelling:\u003c/strong\u003e\u0026nbsp;enlarged vessel at the site of plaque coming from\u0026nbsp;proximal and distal vessel\u0026nbsp;with remodelling index of RI\u0026gt;1.1\u003c/li\u003e\u003c/ol\u003e","id":2388,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2807","nextQuestionPath":null,"relatedArticles":[{"id":8882,"title":"Coronary arteries","link":"/articles/coronary-arteries?lang=gb"},{"id":56786,"title":"Coronary Artery Disease - Reporting and Data System","link":"/articles/coronary-artery-disease-reporting-and-data-system-3?lang=gb"}],"alsoUsedIn":[{"id":1352,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1352","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1352"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":165,"kind":"LiveSchedule","title":"165","link":"https://radiopaedia.org/admin/live_schedules/165"},{"id":1293,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1293","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1293"},{"id":1293,"kind":"Course","title":"Chest Lectures - page 1293","link":"https://radiopaedia.org/courses/chest-lectures/pages/1293"}],"stem":"\u003cp\u003eWhich combination of the\u0026nbsp;below are considered high-risk plaque features?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2388"}],"attemptsPercentages":[{"alternativeId":"11769","percentage":9},{"alternativeId":"11770","percentage":15},{"alternativeId":"11771","percentage":15},{"alternativeId":"11772","percentage":62}],"promptToLogin":false,"questionManager":false,"articleId":"napkin-ring-sign-heart"}