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@gloaming

You should probably only worry if your score continues to rise with each periodic evaluation of the extent of deposition in your LAD. It can be slowed with some treatment, maybe including backing off on the fruit. Fruit has a lot of fructose, and it's a demanding conversion for the liver to change it to glucose, which spikes insulin levels. High serum sugar levels cause damage to the endothelial lining of arteries due to inflammation, and inflamed tissues are a better surface for cholesterol to adhere to.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8267750/
Good job keeping a lid on your weight gain. Still, though, if you're doing a better job at keeping calories in check, but still eating the wrong types of calories, won't you still get some unwanted events in your body?

It could be unrelated to your diet, but may be related to some other condition/pursuit/pathogen/disorder in you, and you still have a significant amount of inflammation. Your doctor can order tests, such as a CRP, to see if your titers are high, outside of range. CRP is 'C-reactive protein', a biomarker for inflammation. There are others, but CRP is easy and a good start.

Finally, your number, any number, would make the bearer sit up and take notice. Some have scores three, four, six times as high as yours, and they're still kickin'. The score doesn't signify a trend, or directionality...it only shows what was in the picture when the image was taken. Yours is rather low, in my very non-expert opinion. Again, discuss this with a physician, maybe a cardiologist.

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Replies to "You should probably only worry if your score continues to rise with each periodic evaluation of..."

Thanks, what do you make of the comment by the technican "CARDIOVASCULAR FINDINGS: Vessels: Aorta and pulmonary artery are not significantly dilated. Heart and Pericardium: Normal. Extra-coronary Calcification: None"

you said
"It can be slowed with some treatment, maybe including backing off on the fruit. Fruit has a lot of fructose, and it's a demanding conversion for the liver to change it to glucose, which spikes insulin levels. High serum sugar levels cause damage to the endothelial lining of arteries due to inflammation, and inflamed tissues are a better surface for cholesterol to adhere to.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8267750/"
The article you reference is based on fructose sugar from soft drinks.
and I quote "The alarming increase in metabolic syndrome and comorbidities can only be attenuated if the consumption of fructose, mainly in soft beverages, is significantly reduced worldwide"
Fructose from whole fruit it metabolized very differently that fructose sugar used in soft drinks and does not represent the threat you imply that whole fruit fructose is = to fructose added to soft drinks.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6247175/
Food sources of fructose-containing sugars and glycaemic control: systematic review and meta-analysis of controlled intervention studies
"Energy control and food source appear to mediate the effect of fructose-containing sugars on glycaemic control. Although most food sources of these sugars (especially fruit) do not have a harmful effect in energy matched substitutions with other macronutrients, several food sources of fructose-containing sugars (especially sugars-sweetened beverages) adding excess energy to diets have harmful effects. However, certainty in these estimates is low, and more high quality randomised controlled trials are needed."