I recently ended up in Emergency room with breathing problems and heart beating strangely. I had teh following test performed and these are the results. What are these telling me?
ECG Sinus rhythm with premature atrial complexes ST & T wave abnormality, consider anterolateral ischemia, abnormal ECG
X-Ray of Chest Lungs are markedly hyperinflated. Emphysema.
Cat Scan of Chest with IV Contrast There is ulcerated plaque in posterior descending thoracic aorta near the diaphragmatic hiatus. Also note is made of coronary arterial calcification.
There is diffuse changes of CODP throughout both lungs, predominantly at the lung apices. There are scattered calcified granulomata with calcified left paratracheal and AP window lymph nodes from prior granulomatous infection. In the extreme right lung apex, there is a 5-6 mm spiculated nodular density anteriorly. The may represent a very early neoplasm or scar.
IMPRESSION: Coronary artery calcification, COPD, very small 5-6 mm spiculated nodular right lung apex. Not clearly present on prior exam although small and could represent a scar or a very early neoplasm. Need follow up CT in 4-6 months.
Echocardiogram Conclusions: The left ventricular chamber size is severely dilated, there is global hypokinesis of left ventricle with minor regional variation, there is severely decreased left ventricular systolic function, estimated ejection fraction is 30-35%, Mild to moderate aortic regurgitation is present, there is mild aortic stenosis, the aortic valve gradient mean is 14.5 mmHg.
MRI of Brain FINDINGS
Something strange show up in this that may be heart related?
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. No intracranial hemorrhage or pathologic enhancement is seen. There are punctate areas of increased T2 signal within the periventricular and subcortical white matter most likely related to chronic microvascular ischemic disease. No restricted effusion is seen.
Can any one give me some insight in to these conditions?
Rich