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Given that the FAA does not accept CTA to exclude the presence of CAD. However, suppose it is being used in the setting of low risk findings that would otherwise be acceptable? Airman (3rd class) had episode of chest pain, is referred for stress imaging (echo), runs to 13+ METS and 90% predicted HR with normal results on imaging. Airman is not comfortable with this finding due to the character of the pain, asks for referral to interventional cardiologist who agrees that the pain sounds angina-like, recommends coronary CTA but offers to take him to the cath lab if the FAA demands a negative cath. Airman prefers the lower radiation dose and non-invasiveness of CTA but leans toward the cath thinking the FAA will ask for it even if the CTA is negative. Is this true, or will they disregard the CTA and simply accept the negative stress echo?