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Fibromuscular dysplasia

What the FAA's documents say about fibromuscular dysplasia, in plain words, with the FAA's own words one press away.

Covers: All classes

FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

Show the FAA's words: which classes the FAA's table covers
FIBROMUSCULAR DYSPLASIA All Classes

FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

Short version

The disposition table has one row, any history.

How the FAA's table sorts Fibromuscular dysplasia
SituationWhat the examiner doesPathway
Row AAny history
Defers to the FAA
Special Issuance
Show the FAA's words: the FAA's table for Fibromuscular dysplasia
  1. Row A · Special Issuance

    Any history. The table lists what to submit for FAA review. The examiner defers, submits the information to the FAA for a possible Special Issuance, and annotates the elements or findings in Block 60.

    A. Any history Submit the following for FAA review: … DEFER Submit the information to the FAA for a possible Special Issuance. Annotate (elements or findings) in Block 60.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

What the pathway names mean

The FAA pathways for fibromuscular dysplasia

Your step-by-step plan

  1. Step 1: The progress note

    From the physician who made the diagnosis or follows clinically.Within 90 days before the exam

    A current, detailed progress note from a clinic visit with the physician who made the diagnosis or follows clinically, no more than 90 days before the exam.

    It should include

    • A summary of the history of the condition or diagnosis
    • Current medications, dosages, and side effects, if any
    • Clinical exam findings
    • Results of any testing performed
    • Diagnosis
    • Assessment and plan (prognosis)
    • Follow-up
    Show the FAA's words: The progress note

    1. A current, detailed Clinical Progress Note generated from a clinic visit from the physician (who made the diagnosis or follows clinically) no more than 90 days before the AME exam. It should include a summary of the history of the condition or diagnosis; current medications, dosages, and side effects (if any); clinical exam findings; results of any testing performed; diagnosis; assessment and plan (prognosis); and follow-up.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026; checked by Crosscheck 14 October 2026.

  2. Step 2: Imaging and other testing

    MRA or CTA of major vascular systems, and testing already performed.Two things to bring
    • Imaging (MRA or CTA)

      Imaging (MRA or CTA) of major vascular systems, performed within the previous two (2) years.

      Reports for images of

      • Brain
      • Head and neck
      • Coronary arteries (CTA)
      • Abdomen and pelvis, to include iliac arteries
    • Other testing

      If already performed by the treating physician.

      If already performed by the treating physician.

      Copies of any other testing already performed by the treating physician.

    Show the FAA's words: Imaging and other testing

    2. Imaging (MRA or CTA) of major vascular systems performed within the previous two (2) years. Submit reports for images of: • Brain; • Head and neck; • Coronary arteries (CTA); and • Abdomen and pelvis to include iliac arteries.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026; checked by Crosscheck 14 October 2026.

    3. Other testing: Copies of any other testing already performed by the treating physician.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026; checked by Crosscheck 14 October 2026.

What the examiner checks

  • Row ADefers to the FAASpecial Issuance

    The table lists what to submit for FAA review. The examiner defers, submits the information to the FAA for a possible Special Issuance, and annotates the elements or findings in Block 60.

    If the examiner defers
Show the FAA's words: what the examiner does on each row
  1. Row A · Special Issuance

    Any history. The table lists what to submit for FAA review. The examiner defers, submits the information to the FAA for a possible Special Issuance, and annotates the elements or findings in Block 60.

    A. Any history Submit the following for FAA review: … DEFER Submit the information to the FAA for a possible Special Issuance. Annotate (elements or findings) in Block 60.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

If the examiner defersSpecial Issuance

The table marks Row A, any history, DEFER.

What the FAA lists to send

  1. Item 1. A current, detailed clinical progress note generated from a clinic visit from the physician (who made the diagnosis or follows clinically) no more than 90 days before the exam.
  2. Item 2. Imaging (MRA or CTA) of major vascular systems performed within the previous two (2) years, with reports for images of the brain; the head and neck; the coronary arteries (CTA); and the abdomen and pelvis to include iliac arteries.
  3. Item 3. Copies of any other testing already performed by the treating physician.
Show the FAA's words: if the examiner defers

When the examiner defers

  1. Reason 1

    The table marks Row A, any history, DEFER.

    A. Any history Submit the following for FAA review: … DEFER Submit the information to the FAA for a possible Special Issuance.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

What the FAA lists to send

  1. Item 1

    A current, detailed clinical progress note generated from a clinic visit from the physician (who made the diagnosis or follows clinically) no more than 90 days before the exam.

    1. A current, detailed Clinical Progress Note generated from a clinic visit from the physician (who made the diagnosis or follows clinically) no more than 90 days before the AME exam.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

  2. Item 2

    Imaging (MRA or CTA) of major vascular systems performed within the previous two (2) years, with reports for images of the brain; the head and neck; the coronary arteries (CTA); and the abdomen and pelvis to include iliac arteries.

    2. Imaging (MRA or CTA) of major vascular systems performed within the previous two (2) years. Submit reports for images of: • Brain; • Head and neck; • Coronary arteries (CTA); and • Abdomen and pelvis to include iliac arteries.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

  3. Item 3

    Copies of any other testing already performed by the treating physician.

    3. Other testing: Copies of any other testing already performed by the treating physician.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

What a Special Issuance is

The Guide says an Authorization for Special Issuance, valid for a specified period, may be granted at the Federal Air Surgeon's discretion to a person who does not meet the established medical standards, if the person shows to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of certificate applied for can be performed without endangering public safety during the period the Authorization would be in force.

How the FAA pathways work

Good to know

Points from the FAA's own documents that are easy to miss.

  • What a progress note must include

    In most cases it should come from a visit with the treating physician no more than 90 days ago, and cover the history, medications with dosages and side effects, exam findings, test results, diagnosis, assessment and plan, prognosis and follow-up. The FAA's sheet says to make sure the physician adds the prognosis. A portal note or an After Visit Summary that does not meet these criteria is not enough, and neither is a simple "ok to fly" letter. The FAA's documents also call it a status report.

    Show the FAA's words: good to know, 1
    your patient portal to print out “notes” or an “After Visit Summary (AVS).” … Patient Portal notes or an AVS that do not meet the criteria listed below for a detailed Clinical Progress Note are NOT sufficient for FAA purposes. … To be “current,” in MOST CASES, the detailed Clinical Progress Note should be from an evaluation in which you saw your treating physician no more than 90 days ago. … It Must include the following items: … A summary of the history of the condition, … Current medications, dosages, and side effects (if any); … Clinical exam findings; … Results of any testing performed; … Diagnosis; … Assessment and Plan; … Prognosis (This item may not be on a standard progress note, make sure your physician adds this information.); and … Follow-up … Please note: A letter stating, “Mr. Smith is ok to fly” (or any other simple note), is NOT a current, detailed Clinical Progress Note and is NOT acceptable. … You may also see this called a “current status report” or “status report” in current FAA Guidance. Any reference to a “status report” equals the criteria listed on this sheet.

    FAA source: Pilot Information – What a Detailed Clinical Progress Note must contain. FAA date 25 September 2024. Checked by Crosscheck 14 October 2026

  • Any history is the table's one row

    The table's one row is any history, and it is marked DEFER.

    Show the FAA's words: good to know, 2
    A. Any history Submit the following for FAA review: … DEFER Submit the information to the FAA for a possible Special Issuance.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

  • The imaging is from the previous two years

    The progress note is from a clinic visit no more than 90 days before the exam, while the imaging (MRA or CTA) is performed within the previous two (2) years. The table asks for reports for images of the brain; the head and neck; the coronary arteries (CTA); and the abdomen and pelvis to include iliac arteries.

    Show the FAA's words: good to know, 3
    1. A current, detailed Clinical Progress Note generated from a clinic visit from the physician (who made the diagnosis or follows clinically) no more than 90 days before the AME exam. … 2. Imaging (MRA or CTA) of major vascular systems performed within the previous two (2) years. Submit reports for images of: • Brain; • Head and neck; • Coronary arteries (CTA); and • Abdomen and pelvis to include iliac arteries.

    FAA source: Fibromuscular Dysplasia. FAA date 24 June 2026. Checked by Crosscheck 14 October 2026

FAA sources

Every FAA document this page relies on, with the FAA's own date and the date Crosscheck last read it. The documents to print open at the FAA, so they are always the FAA's current ones.

This reports what the FAA has published. It is not medical advice, and it does not say how the FAA or an examiner will decide a case.