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What Does The Following Cardiac CT Scan Report Suggest?
FINDINGS: Attenuation artifact limits evaluation of the anterior wall. There is a moderate-size, severe-reversible defect involving the basal to mid anterior and anteroseptal wall. The majority of this defect is favored to be artifactual from attenuation however, some ischemia in this territory is a differential consideration. No convincing evidence of infarct. Gated exam demonstrates ejection fraction calculated at 68% with no regional wall motion abnormality. IMPRESSION: 1. Moderate-sized, severe-reversible perfusion abnormality involving the basal to mid anterior wall and anteroseptal wall. The majority of this defect is favored to be related to attenuation artifact from the patient s chest however, ischemia in this territory is a differential consideration. No additional evidence of ischemia or infarct elsewhere. 2. Normal left ventricular wall motion with ejection fraction 68%.
Thu, 6 Sep 2018
Hi,
I understand you have a question about the cardiac CT scan report you have received. First of all, I would like to confirm that this is likely a myocardial perfusion scan, and NOT a cardiac CT scan report, which would have to comment on the coronary arteries.
Assuming this is a myocardial perfusion scan (MPS), the report says that there is an area of the heart that they couldn't see clearly, which may be an area that is not getting enough blood supply (meaning, there is likely coronary artery disease in that area of the heart), or it may just be something is blocking the scan and it cannot see that area clearly.
The report suggests that it is probably just something blocking the scan, but says that they can't be 100% sure. They do say there is no evidence of dead heart tissue in that area (such as you would see after a major heart attack). Other than that the report is normal.
Basically, the decision about what to do with this report will depend on your symptoms and history. If it was unlikely before the scan that you had any heart disease, this will probably confirm that. If there was serious concern for heart disease before the scan, you may still need to do some tests to make sure you really don't have any heart disease.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Aaron Branch
I understand you have a question about the cardiac CT scan report you have received. First of all, I would like to confirm that this is likely a myocardial perfusion scan, and NOT a cardiac CT scan report, which would have to comment on the coronary arteries.
Assuming this is a myocardial perfusion scan (MPS), the report says that there is an area of the heart that they couldn't see clearly, which may be an area that is not getting enough blood supply (meaning, there is likely coronary artery disease in that area of the heart), or it may just be something is blocking the scan and it cannot see that area clearly.
The report suggests that it is probably just something blocking the scan, but says that they can't be 100% sure. They do say there is no evidence of dead heart tissue in that area (such as you would see after a major heart attack). Other than that the report is normal.
Basically, the decision about what to do with this report will depend on your symptoms and history. If it was unlikely before the scan that you had any heart disease, this will probably confirm that. If there was serious concern for heart disease before the scan, you may still need to do some tests to make sure you really don't have any heart disease.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Aaron Branch
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