Multiple Choice Question of the Week : Nuclear-05 : [Answer]

             
      


54 year old male patient presenting with mild dyspnea on exertion.
He is only on Aspirin

The images show:
A) No ischemia
B) LCx and RCA ischemia
C) Hibernation
D) Peri-infarct ischemia
E) Artifact

Right answer is: B)

There is a severe perfusion defect involving the entire anterolateral wall, true lateral, and inferior wall (LCx and RCA territory).

Very important and something not to miss is the left ventricular cavity dilation during stress as a high risk marker.

As well as increase in right ventricular tracer uptake which is indicative of another high risk marker.

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