diff --git a/report_stroke.py b/report_stroke.py
index 8ba0400..79fa207 100644
--- a/report_stroke.py
+++ b/report_stroke.py
@@ -8,13 +8,16 @@ def report_stroke():
         'haemorrhage': '',
         'ischaemia': '',
         'lvo': '',
-        'stenosis': ''
+        'ica_disease': '',
+        'ica_side': '',
+        'quantify_stenosis': '',
+        'left_stenosis': '',
+        'right_stenosis': ''
     }
     custom_text = {
         'haemorrhage': '',
         'ischaemia': '',
         'lvo': '',
-        'stenosis': ''
     }
 
     def update_result():
@@ -23,8 +26,21 @@ def report_stroke():
             f"There is evidence of intracranial haemorrhage: {answers['haemorrhage']} {custom_text['haemorrhage']}\n"
             f"There is evidence of acute ischaemia: {answers['ischaemia']} {custom_text['ischaemia']}\n"
             f"There is an intracranial LVO: {answers['lvo']} {custom_text['lvo']}\n"
-            f"There is significant stenosis of the internal carotid arteries: {answers['stenosis']} {custom_text['stenosis']}"
+            f"There is significant extracranial internal carotid artery disease: {answers['ica_disease']}\n"
         )
+        if answers['ica_disease'] == 'YES':
+            formatted_text += (
+                f"Side of ICA disease: {answers['ica_side']}\n"
+            )
+            if answers['quantify_stenosis'] == 'YES':
+                formatted_text += (
+                    f"Left ICA stenosis: {answers['left_stenosis']}\n"
+                    f"Right ICA stenosis: {answers['right_stenosis']}\n"
+                )
+            elif answers['quantify_stenosis'] == 'NO':
+                formatted_text += (
+                    "Please discuss with a Vascular Radiologist and consider contemporaneous duplex imaging if the patient is a candidate for Carotid endarterectomy.\n"
+                )
         result_box.value = formatted_text
 
     def toggle_visibility(button, input_field):
@@ -33,10 +49,14 @@ def report_stroke():
 
     def set_all_to_false():
         answers.update({
-            'haemorrhage': 'False',
-            'ischaemia': 'False',
-            'lvo': 'False',
-            'stenosis': 'False'
+            'haemorrhage': 'NO',
+            'ischaemia': 'NO',
+            'lvo': 'NO',
+            'ica_disease': 'NO',
+            'ica_side': '',
+            'quantify_stenosis': '',
+            'left_stenosis': '',
+            'right_stenosis': ''
         })
         update_result()
 
@@ -45,7 +65,7 @@ def report_stroke():
 
     with ui.row():
         ui.label('There is evidence of intracranial haemorrhage')
-        ui.radio(['True', 'False'], on_change=lambda e: (answers.update({'haemorrhage': e.value}), update_result())).props('inline')
+        ui.radio(['YES', 'NO'], on_change=lambda e: (answers.update({'haemorrhage': e.value}), update_result())).props('inline')
         custom_input_haemorrhage = ui.input('Custom text', on_change=lambda e: (custom_text.update({'haemorrhage': e.value}), update_result()))
         custom_input_haemorrhage.visible = False
         toggle_button = ui.button(icon='add', on_click=lambda: toggle_visibility(toggle_button, custom_input_haemorrhage)).props('flat dense')
@@ -53,7 +73,7 @@ def report_stroke():
 
     with ui.row():
         ui.label('There is evidence of acute ischaemia')
-        ui.radio(['True', 'False'], on_change=lambda e: (answers.update({'ischaemia': e.value}), update_result())).props('inline')
+        ui.radio(['YES', 'NO'], on_change=lambda e: (answers.update({'ischaemia': e.value}), update_result())).props('inline')
         custom_input_ischaemia = ui.input('Custom text', on_change=lambda e: (custom_text.update({'ischaemia': e.value}), update_result()))
         custom_input_ischaemia.visible = False
         toggle_button = ui.button(icon='add', on_click=lambda: toggle_visibility(toggle_button, custom_input_ischaemia)).props('flat dense')
@@ -61,19 +81,49 @@ def report_stroke():
 
     with ui.row():
         ui.label('There is an intracranial LVO')
-        ui.radio(['True', 'False'], on_change=lambda e: (answers.update({'lvo': e.value}), update_result())).props('inline')
+        ui.radio(['YES', 'NO'], on_change=lambda e: (answers.update({'lvo': e.value}), update_result())).props('inline')
         custom_input_lvo = ui.input('Custom text', on_change=lambda e: (custom_text.update({'lvo': e.value}), update_result()))
         custom_input_lvo.visible = False
         toggle_button = ui.button(icon='add', on_click=lambda: toggle_visibility(toggle_button, custom_input_lvo)).props('flat dense')
         ui.tooltip('Add custom text for this option').on(toggle_button)
 
     with ui.row():
-        ui.label('There is significant stenosis of the internal carotid arteries')
-        ui.radio(['True', 'False'], on_change=lambda e: (answers.update({'stenosis': e.value}), update_result())).props('inline')
-        custom_input_stenosis = ui.input('Custom text', on_change=lambda e: (custom_text.update({'stenosis': e.value}), update_result()))
-        custom_input_stenosis.visible = False
-        toggle_button = ui.button(icon='add', on_click=lambda: toggle_visibility(toggle_button, custom_input_stenosis)).props('flat dense')
-        ui.tooltip('Add custom text for this option').on(toggle_button)
+        ui.label('There is significant extracranial internal carotid artery disease')
+        ui.radio(['YES', 'NO'], on_change=lambda e: (answers.update({'ica_disease': e.value}), update_result(), toggle_ica_options(e.value))).props('inline')
+
+    # Additional options for ICA disease
+    def toggle_ica_options(value):
+        ica_side_row.visible = value == 'YES'
+        quantify_stenosis_row.visible = value == 'YES'
+
+    ica_side_row = ui.row()  # Create the row
+    ica_side_row.visible = False  # Set visibility to False
+    with ica_side_row:
+        ui.label('Please indicate the side of ICA disease')
+        ui.radio(['R', 'L', 'Bilateral'], on_change=lambda e: (answers.update({'ica_side': e.value}), update_result())).props('inline')
+
+    quantify_stenosis_row = ui.row()  # Create the row
+    quantify_stenosis_row.visible = False  # Set visibility to False
+    with quantify_stenosis_row:
+        ui.label('Are you happy to quantify the degree of stenosis?')
+        ui.radio(['YES', 'NO'], on_change=lambda e: (answers.update({'quantify_stenosis': e.value}), update_result(), toggle_stenosis_options(e.value))).props('inline')
+
+    # Additional options for quantifying stenosis
+    def toggle_stenosis_options(value):
+        left_stenosis_row.visible = value == 'YES'
+        right_stenosis_row.visible = value == 'YES'
+
+    left_stenosis_row = ui.row()  # Create the row
+    left_stenosis_row.visible = False  # Set visibility to False
+    with left_stenosis_row:
+        ui.label('Left ICA stenosis')
+        ui.radio(['Unobstructed', 'Less than 50%', '50 to 70%', '70 to 90%', 'Greater than 90%', 'Occluded'], on_change=lambda e: (answers.update({'left_stenosis': e.value}), update_result())).props('inline')
+
+    right_stenosis_row = ui.row()  # Create the row
+    right_stenosis_row.visible = False  # Set visibility to False
+    with right_stenosis_row:
+        ui.label('Right ICA stenosis')
+        ui.radio(['Unobstructed', 'Less than 50%', '50 to 70%', '70 to 90%', 'Greater than 90%', 'Occluded'], on_change=lambda e: (answers.update({'right_stenosis': e.value}), update_result())).props('inline')
 
     # Text box to display the selected answers
     result_box = ui.textarea('Selected Answers:', value='').props('rows=10 style="width: 100%;" readonly')