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Coronary arteries:
Dominance: Right dominant. The left main coronary artery arises from the right coronary cusp with a common origin of the RCA/LCA and has an interarterial course. The SA nodal branch is probably arising from a small left circumflex.
LMS: Normal
LAD: Proximal mixed plaque, 50-70% stenosis.
CX: Small vessel, normal.
RCA: Proximal calcified plaque, less than 25% stenosis.
Cardiac findings:
Normal valves and chambers. Minor calcification of the tricuspid aortic valve is noted.
Non-cardiac findings:
Normal visualized chest.
Conclusion:
Anomalous left coronary artery with interarterial course. Non-obstructive coronary artery disease.