Case Author(s): Richard Held MD and Rob Gropler MD , 6/17/06 . Rating: #D4, #Q4

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Brief history:

63 year old woman with history of asthma, hypertension, metastatic cancer, DVT and pulmonary emboli, coronary artery disease with previous MI complicated by congestive heart failure. She presents with new or worsened dyspnea.

Images:

MYOCARDIAL SPECT Tc99m-Sestamibi during Adenosine Stress (TOP) Thallium-201 Chloride during Rest (BOTTOM)

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View second image(mi). Quantitative Myocardial Perfusion Report

View third image(mi). Gated Perfusion (Stress) Report

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