Chest discomfort - suspected CAD
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Case presentation:
- Female.
- 49 y.o.
- Exertional shortness of breath, dull pressing chest discomforts for 6 months.
- 103kg weight. Obese.
- Hypertension.
- Type II DM.
- Hyperlipidemia.
Conclusions:
- Attenuation artifacts are the achilles heel of MPI. In most cases, there is a mild to moderate fixed perfusion defect in the anterior and antero-septal or antero-lateral walls depending on the position the breasts. In this case however, there was what appeared to be a reversible defect seen. This could be because the breast position may have changed between the 2 scans, or perhaps because a different position of camera head has been employed.
- Measures to reduce this type of artifact would be possibly breast strapping or using attenuation correction measures.