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Origins: Normal Dominance: Left
Left Main Coronary Artery (LMCA): Normal.
Left Anterior Descending (LAD): Large amount of complete myocardial bridging of the mid segment. No obstructive disease evident. No diagonal branch identified.
Circumflex artery (Cx): Normal.
1st obtuse marginal branch (OM1), OM2, OM3 - Normal, and distal vessels not well visualised.
Right Coronary Artery (RCA): Small vessel, Normal.
Posterior descending artery (PDA) and Posterior left ventricular branch (PLV) - not well-visualized.
Dual lead pacemaker wires noted, causing moderately severe artefact. Enlarged left atrium. Minor aortic valvular calcification.