Patient Name: Catron,Anna L DOB: 12/31/1963 MRN: MR216511 Visit Type: DEP CLI Age/Sex: 54/F ACCT #: SC0000 Location: DI Ordering Provider: Matthew Zimmerman, MD Tech: Matthew G Lewis Accession #: 0000 Category: Nuclear Medicine Cardiology ----------------------------------------------------------------------------- Date: 07/24/18 EXAMINATION: NMC SPECT Heart GXT W Isotope NMC INDICATION: R07.9 Chest pain, unspecified FINDINGS: Resting HR beats per minute: 80 Max. HR beats per minute: 120 Resting BP mmHg: 141/78 Max. BP mmHg: 145/86 Exercise Time: Not applicable. % HR Achieved: 72% METS Achieved: 1.0 BASELINE EKG: Sinus rhythm without any STT abnormalities. TOLERANCE: Not applicable. SYMPTOMS: Shortness of breath, headache and symptoms of chest pain at rest which did not get worse with Lexiscan. Reason for stopping the exercise: Completed protocol. Post-stress EKG FINDINGS: No ischemic ST depression with Lexiscan administration. TECHNIQUE: The patient was infused with 6.0 mCi of Tc-99m Sestamibi after Lexiscan administration, followed by 18.0 mCi from a non HEU source later on at rest. Short axis, vertical long axis, and horizontal long axis SPECT images were processed. There is mild-to-moderate mostly reversible defect in the apical septum and mid and apical anterior wall. TID was 1.20. Stress defect was 8% and rest defect was 1%. Gated SPECT showed normal left ventricular size, wall motion and systolic function, ejection fraction was 63%. Enddiastolic volume was 64ml. Patient Name: Catron,Anna L MRN: MR216511 Procedure: Date: 07/24/18 Dictated by: Mansha U. Kahloon, MD Dictated Date/Time: 07/30/18 1858 Signed by: Kahloon,Mansha U MD Signed Date/Time: 07/30/18 1906 Transcribed by: Medq Medq Transcribed Date/Time: 07/30/18 1901 IMPRESSION: 1. Mild-to-moderate mostly reversible defect in the apical septum and mid and apical anterior wall. 2. Mild transient dilatation of the left ventricle with Lexiscan administration. 3. Normal left ventricle wall motion and systolic function. C