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.
