Results of Ct Angiogram

i am hoping someone with experience can shed some light on this report. I've unfortunately become an expert as a Prostate Cancer patient, but Cardiac issues are relatively new to me. I am age 64, have a history of high triglycerides,a though I have had them under control for the last two years. Otherwise, I've never been sick, until January when I was found to have prostate cancer early stage, and had surgery.

After an abnormal EKG reading on an echo stress, (pictures were normal) my PCP who is also a board certified Cardiologist, sent me for a
CT Angiogram which I had done at 12:30pm today. I was amazed at 2 PM to log onto the patient portal of the Radiology Practice, and find the report already posted. Sort of wish I hadn't seen it. What is more amazing is I called my Dr and got a callback from his PA, who said they haven't received the results yet.

What freaked me out was the first part of the report which reported among other less meaningful things, "Atherosclerotic changes in the Thoracic Aorta and Coronary Arteries. Then it showed a Total Calcium Score of 937. I googled that and found that anything above 400 indicates "extensive Coronary Disease"

However, in the second section of the report, it noted the three arteries that showed "calcified and non calcified plaque" and in all three it states "with no discrete luminal stenosis greater than 50%" which I THINK means no blockages over 50%. All other branches (of each artery) appear normal"

At the end of the report it states.....
"Impression: Diffuse Atherosclerotic changes with no hemodynamically significant stenosis identified."

So I'm not sure what to make of it. The Total Calcium Score is scary. And 50% blockages (if that's what it means) is not good, but from what I've read, not life threatening until they get to 75%
But the last line, the impression of no significant stenosis identified, , seems positive,

I had a brief conversation with my Drs PA who hadn't seen the report, she said that the Dr will call me tomorrow after he's looked at it, but from what I've read to her (the above) she thinks that he will just want to monitor it with frequent echo stress tests and manage it with lifestyle changes.
i don't know what more can I change. My cholesterol is 136 with no statins, my triglycerides are 148, my HDL is a wee bit low but my LDL is normal range. I've lost 30 pounds over the last 3 years and walk 3-4 miles a day 3 days a week.

Anyway, if anyone has any insight into what all this means it would be appreciated.

My cholesterol tested two weeks ago at 136. LDL is 75, and HDL is 31. So I don't think statins will do anything for me.

Spoke with doc earlier, he hasn't gotten the report yet, I had to read it to him, what's wrong with THAT picture? Anyway, he said he wants to eyeball the report and think about it overnight, but will probably set me up,for an angiogram for Friday. Ugh.
My flow was normal at 65%.

I wonder if he is being overly cautious.

Had angiogram yesterday, 2 blockages, one approx 50% the other 80%. Put in 2 stents, said he got a good result (whatever that means, i guess they test the flow, before they finish up).

Thanks turtle for the responses.
Wish this section was more active.

So with 2 blockages cleared with stents, one not very significant (doc said if he wasn't putting in a stent for the bigger blockage, he would have left the smaller one alone), BUT with a total calcium score of 937, does this mean I am in trouble, and eventually this atherosclerosis will get me? Even with a total cholesterol of 126, LDL of 75, and HDR of 34, BEFORE I EVEN WENT IN MEDS.?

Very nervous and concerned (and depressed) about my situation,

Also, I am very tied since the angiogram, they went in thru the wrist. it has been 3 days. Is this to be expected? Is it the procedure itself, or the 2 new mess I am on ?(Crestor and Plavix) . Or is it not normal and a sign that something is wrong?

My vascular problem has always been noted as athrosclerosis. I guess the main reason I had 7 stents prior to my bypass. The narrowing in the arteries gets really bad and doesn't allow the blood to flow is how I perceive it. It's one of the reasons I'm going in on 17th 4 the heart. Having an angio also. U know my mom had a stent done and they went in thru her wrist also. The most miraculous thing I'd ever seen ! She went home same day. They w/b going back thru my groin on 17th, they said. I've been on Plavix & Pletal since apprx 2095 when 1st set of stents went in. My trychglicerites have "always" been VERY high also. Was recently put on statin as well. Hope the stent placement makes u feel better soon.

some relaxation techniques are useful to keep anxiety at bay. stroke, heart attack, can happen, you are doing all the right things to keep this at bay. LMB, hi. yeah exactly. me groin for the angio. had double by-pass nearly 2 yrs ago. all the best with your surgery. may you guys keep strong. many healing thoughts.

none of the above. having a read never hurts. there may be things worthy of note.