請問醫生主動脈根部前壁壁內小血腫會怎樣，這是我的電腦斷層檢查出來的，CT scan of chest with CTA showed that ＞ Focal wall thickening was seen in anterior DDx of aortic root ser602 img28. The suspected lesion was constantly seen in pre contrast study ser4 img8 ser5 mg40 ser7 img39. DDx intramural hematoma motion artifact. Recommend echocardiography FU. ＞ No definite intimal flap was detected in ascending aorta and descending aorta ＞ Both lungs were normally aerated and were applied to the chest wall on all sides. There was no sign of circumscribed pleural thickening and no fluid collection. There were no intrapulmonary nodules or patchy opacities. ＞ The mediastinum showed normal appearance without abnormal lymphadenopathy. ＞ The heart was orthotopic with normal configuration. The cardiac chambers were of normal size. ＞ Major intrathoracic vessels and imaged portions of the supra-aortic vessels were unremarkable. ＞ The thoracic skeleton and thoracic soft tissues showed no abnormalities. ＞ No definite enhanced lesion in liver pancreas spleen and kidneys. ＞ SP ORIF of L’t. femoral neck. In conclusion Suspected small intramural hematoma at anterior wall of aortic root echocardiography was recommended. Otherwise no definite evidence of aortic dissection.  請問這是怎么意思 這個是心臟超音波看起來嚴重嗎 Anatomy Contractility Relaxation AO root24 20-37 mmLVEF MV EA   cms LA 37 19-40 mm M-mode 58  ＞50 E dece.time ms IVS 9 7-12 mm 2D-Simpson  ＞50 IRT ms LVEDD 51 35-52 mmRWMA LVPW 8 8-12 mm Nil Nil lateral E’A’  cms LVESD 35 20-35 mm Nil Nil medial E’A’  cms RA Normal Nil Nil EE’ RV Normal 　Mitral valve Structure MV Prolapse Nil MR Mild MRA LAA cm2 PISA cm MS Nil MVA2D cm2 Mean-PG mmHg MVADoppler cm2 　Aortic valve Structure AR Nil Reverse flow P12t ms AS Nil AVA2D cm2 Mean-PG mmHg AVAContinuityE. cm2 Max-PG mmHg 　Pulmonary valve Structure Pul flow accele.Time ms PR Nil PS Nil Max-PG mmHg 　Tricuspid valve TR Mild Max-PG mmHg TS Nil 　Other Pericardial effusion Nil Other1 Nil Other2 LA or LV thrombus Nil Other3 Conclusion 1.Normal cardiac chamber size 2.Normal wall thickness 3.preserved L.V. contractility 4.Mild mitral regurgitation、Mild Tricuspid regurgitation，醫生我運動心電圖也缺血陽性要怎麼治療，要住院開刀嗎
您好 電腦斷層檢查 心臟超音波都沒看到明顯異常 可能是 假影造成 運動心電圖沒看報告不敢說 理論上運動心電圖陽性 可能是心肌缺血 不要住院開刀 如有狹心症狀 可能建議進一步檢查 冠狀動脈血管攝影 平安 彰化醫院關心您