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What Do My Lab Test Result Indicate?

Posted on Fri, 13 May 2016

Question: what is a mild fixed anteroapical attenuation consisten with breast attenuation

Answered by Dr. Vivek Chail (35 minutes later)

Brief Answer:
It shows that there is breast tissue in anteroapical area

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The word anteroapical refers to location and attention is density.

2. Therefore in your report it states that there is a fixed density in anteroapical location of probably chest wall which might be breast tissue.

3. It is important to go through the complete report for better understanding. It is important to know the details regarding why the investigation was done.

Please upload complete report with details of your clinical problem if you want a more detailed discussion.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (13 minutes later)

the tests were done because i was having chest pain. I have not seen a cardioligist yet they only sent me the test results. the following is what is listed on the report they sent me

perfusion:
normal perfusion imaginf mild fixed anteroapical attenuation consistant with breast attenuation

lv function:
left ventricular ejection fraction is 37%

wall motion post phram :
there is moderate global hypokinesis

conclusion:
negative pharamocologic stress myocardial perfusion imaging without ischemia or infarct

left ventricular enjection is 37%

mild fixed anteroapical attentuation consistant with breast attenuation

based on the results of these tests the patients symptoms do not appear to be due to myocardial ischemia

Answered by Dr. Vivek Chail (28 minutes later)

Brief Answer:
Breast attenuation is not concern but heart function requires discussion

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. You have got a heart perfusion study done. With regards to the earlier point in your report, it shows breast tissue in front of heart. This is an expected and normal finding in female patients.

2. The report also mentions that the left ventricular ejection fraction is 37 percent with moderate global hypokinesis. This refers to decreased pumping function of your heart. Please discuss with your cardiologist.

3. In conclusion the breast attenution is normal and not a concern. However the pumping function of heart is to be discussed with the cardiologist.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (7 minutes later)

It will be over a month before I see my primary doctor again. Is this something that can wait it do I need to schedule a follow up immediately

Answered by Dr. Vivek Chail (55 minutes later)

Brief Answer:
Suggest echocardiography and if abnormal then please consult cardiologist

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. A chest pain should be sufficiently investigated in detail. The perfusion study shows that there is no coronary heart disease features.

2. However there is a mention of moderate global hypokinesia which can indicate decreased heart pumping.

3. It will be good if you can get an echocardiography done and if there is any abnormality on echocardiography then you should consult the cardiologist urgently.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar