XXX Nuclear Cardiology Facility
6021 University Blvd., Suite 500
Ellicott City, MD 21043
Phone (123)123-1234
Fax (123)123-1234
Patient Name: Doe, John
ID Number: 123456
Date of birth: 4-2-63
Sex: Male
Referring physician: Dr. Jones
Date of the exam: 4-1-12
Rest/Stress Single Isotope SPECT Myocardial Perfusion Imaging with
Exercise Stress and Gated SPECT Imaging
CLINICAL INDICATIONS/HISTORY: Evaluation of the extent and severity of coronary artery disease
PROCEDURE: The patient exercised on the treadmill for 11 minutes 01 seconds on a Bruce protocol achieving an
estimated workload of 13.5 METS. The patient’s baseline heart rate was 58 bpm and increased to 165 bpm at peak
exercise achieving 100% of the maximum predicted heart rate. The blood pressure response was normal. The
baseline blood pressure was 116/72 mm Hg and increase to 178/88 mm Hg at peak exercise. The resting EKG
revealed normal sinus rhythm and no ST segment abnormalities. The EKG at peak stress demonstrated no ST
changes to suggest ischemia. The patient complained of dyspnea.
The patient was given 10.9 mCi of Tc-99m tetrofosmin IV at rest. Approximately 45 minutes after the injection the
patient underwent SPECT imaging. At peak exercise, 30.1 mCi of Tc-99m of tetrofosmin was injected
intravenously. The stress images were obtained approximately 30 minutes post tracer injection. The stress SPECT
study was also gated to evaluate regional wall motion and calculate the left ventricular ejection fraction. The data
was reconstructed in the short, horizontal long and vertical long axis views and tomographic slices were generated.
FINDINGS: The overall technical quality of the images is excellent. The left ventricular cavity size is normal on the
rest and stress studies. There is no evidence of lung activity. The right ventricle appears mildly dilated.
The stress SPECT images demonstrated a small size defect of moderate intensity in the apex and a moderate size
defect of moderate intensity in the inferior wall. The remaining walls are normally perfused. The rest images
demonstrate normal perfusion in the apex and normal perfusion in the inferior wall.
The calculated LVEF was 41% with akinesia in the apex and mild hypokinesia in the inferior wall. The remaining
walls demonstrate normal regional wall motion and thickening.
IMPRESSION: Abnormal Exercise Stress Myocardial Perfusion study demonstrating:
1.
2.
3.
4.
5.
6.
Evidence of a small area ischemia in the apex
Moderate size area of ischemia in the inferior wall
Abnormal left ventricular systolic function with an calculated LVEF of 41% with akinesia in the apex and
hypokinesia in the inferior wall
Mild right ventricular dilatation
No chest pain at maximal exercise, however the patient experienced dyspnea
Normal exercise ECG.
Mary Beth Farrell, MD (electronically signed)
Date of interpretation: 4-2-12
Date of final report: 4-3-12
MPI Ex-Stress Abnormal Report (SAMPLE)
1
NOTE: This is a SAMPLE only. Protocols submitted with the application MUST be customized to reflect current practices of the facility.