74 year old woman with history of hypertension, hyperlipidemia, referred for further evaluation of chest pain.MEDICATIONS: amlodipine, lasix, ASA, simvastatin, valsartan First Pass PerfusionDuring hyperemia, a perfusion defect was noted in the basal anteroseptum and the mid anterior and anteroseptum. No resting images could be acquired for comparison because of above described reaction. Left VentricleThe left ventricle visually appears normal in size with preserved systolic function. No late gadolinium imaging was performed due to patients severe allergic reaction requiring immediate stopping of procedure. Left AtriumThe left atrium appears mildly dilated.Right VentricleThe right ventricle visually appears normal in size with preserved systolic function.Right AtriumThe right atrium is grossly normal in size AortaThe aortic root is normal in size. There is a left sided aortic arch with a normal brachiocephalic branching pattern.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC drain normally into the right atrium. Extracardiac FindingsThis study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
1. During hyperemia, a perfusion defect was noted in the basal anteroseptum and the mid anterior and anteroseptum. No resting images could be acquired for comparison because of above described reaction. 2. Normal LV size and systolic function. 3. Normal RV size and systolic function.4. Patient suffered severe allergic reaction to either Multihance or regadenoson.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.