Clinical History
80 Year old male for myocardial perfusion PET/CT.
Findings
The post-stress images reveal severely reduced uptake in the lateral wall, apex, apical septum, apical inferior wall, with moderate reduction in small area of apical anterior wall. Mild to moderately reduced uptake is also seen in the rest of the inferior wall as well. The resting images demonstrate improvement in all these segments. The quantitative polar maps calculate stress defects to be approximately 34% of the total myocardium.
The resting LVEF of 59% changed to 53% at peak stress test.
Conclusion
Severe stress induced myocardial ischaemia of the lateral wall, apex, apical inferior all and apical septum.
Moderate ischaemia of apical anterior wall, with mild ischaemia of the rest of the inferior wall.
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