Question 1

cardiac calcium score question: "the accuracy of the calcium score calculation on this exam is decreased by significant motion artifact related to elevated heart rate during scanning." is it possible this has skewed my results?

Accepted Answer

It is unusual.: If there was believed to be artifact due to the heart's motion, the physician interpreting the test would indicate that in the official report.

Question 2

had a nuc med scan and the left ventricle showed this."there is no significant motion during stress and rest imaging. there is moderate fixed perfusion defect in inferior wall with normal wall motion suggestive of diaphragmatic attenuation artifact."?

Accepted Answer

Talk to cardiologist: This reads like it is likely a normal report that you should review with your doctor. Doctors who read a study often do not have the context of the study or patient when they have to read it. In this case, the cardiologist is saying that the study shows an abnormality that is normal in most people. If you had some unique medical history or were in the ICU, then their interpretation may not apply.

Question 3

is the abdomen and/or diaphragm used during forced inspiration?

Accepted Answer

Mostly diaphragm: The diaphragm is the primary driver of inspiration, whether it be typical passive inspiration or taking a deep breath.  The chest wall help as well, to a less extent.

Question 4

why does pulse tapering when holding the breath after a deep inspiration? is it pathological?

Accepted Answer

Decrease pulse?: I think you mean that your pulse decreases when you take a deep breath and hold your breath. Breathing cycles the blood return to the heart via the intrathoracic pressures. Holding breath on the other hand is like a valsalva maneuver which increases the pressures sensed by the carotid bodies, and hence decreases heart rate.

Question 5

lost my inspiration to eat healthy and i need help. any advice on how to find my motivation again?

Accepted Answer

Focus: Focus on why you did in the past. Think about energetic you feel eating healthy. Think about why wouldn't you do any more. Think about  what happens to the person who eats poorly.

Question 6

fnac right parotid. microscopy shows that smears are haemorrhagic and show fixation artifacts.help.

Accepted Answer

Nothing about the: information you provide is alarming. The fine needle aspiration has not revealed anything helpful and is not diagnostic. Hemorrhage/bleeding is not unusual; it may even have been caused by the insertion of the needle. Fixation artifact simply means there is disruption of the tissue due to fixation/preparing the material for the microscope. Probably needs repeating...discuss with Doc. Good wishes:)

Question 7

significance of "generalized hyperaeration" on cxr?  sx scapular pain inspiration. no oth sx very thin. told take deep brth n hold. overpenetration?

Accepted Answer

Emphysema: While no test is 100%, assume the test was administered in the 'right' way because 95% of the time, repeating it gives the same results. Hyperaeration (too much air in lungs) can be artifactual but the Radiologist (a good one, anyway) would note that by careful observation (lungs vs. bones). The signs &amp; findings point to obstructive lung disease (COPD/emphysema). TTYD or discuss on HealthTap Prime

Question 8

there is a medium-sized  inferoseptal and a small sized apical defect worse at rest suggestive of soft tissue attenuation and reconstruction artifact.

Accepted Answer

Scan: I assume  This is a nuclear cardiac stress test and if so, is consistent with scarred heart muscle possibly related to coronary artery blockages and old damage. I presume that your EKG was also abnormal. These important findings are best evaluated by a cardiologist skilled in interpreting nuclear cardiac scans, and who knows all your findings. Coronary Angiography may be recommended.

Question 9

i'm looking for inspiration for family's dealing with cancer?

Accepted Answer

It is not hopeless: Let us start , diagnosis of caner is not hopeless all the time.Some of the non curable cancers of  two decades ago are now completely curable cancers, even the non curable ones  have prolonged  remissions due great chemotherapeutic drugs. The medical team that  treats also includes family friends, well wishers,  and don't for get the clergy who will cure the soul.

Question 10

do you have any weight loss inspiration stories for me?

Accepted Answer

Weight loss story: My story would be about a patient who came into my office at the age of 65, retired, but stuck in a wheel chair because of horrible arthritis.  She was no longer independent.  She couldn't enjoy the retirement she had worked so hard for.  She wasn't a candidate for knee replacement because of her weight.  About 100 lbs and 1 yr later, she walked into my office, no wheelchair, happy and independent.

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Doctor answers about:

Suboptimal inspiration and motion artifact

A member asked:

Cardiac calcium score question: "the accuracy of the calcium score calculation on this exam is decreased by significant motion artifact related to elevated heart rate during scanning." is it possible this has skewed my results?

A member asked:

Had a nuc med scan and the left ventricle showed this."there is no significant motion during stress and rest imaging. there is moderate fixed perfusion defect in inferior wall with normal wall motion suggestive of diaphragmatic attenuation artifact."?

A member asked:

Is the abdomen and/or diaphragm used during forced inspiration?

A member asked:

Why does pulse tapering when holding the breath after a deep inspiration? is it pathological?

A member asked:

Lost my inspiration to eat healthy and i need help. any advice on how to find my motivation again?

A member asked:

Fnac right parotid. microscopy shows that smears are haemorrhagic and show fixation artifacts.help.

A member asked:

Significance of "generalized hyperaeration" on cxr? sx scapular pain inspiration. no oth sx very thin. told take deep brth n hold. overpenetration?

A member asked:

There is a medium-sized inferoseptal and a small sized apical defect worse at rest suggestive of soft tissue attenuation and reconstruction artifact.

A member asked:

I'm looking for inspiration for family's dealing with cancer?

A member asked:

Do you have any weight loss inspiration stories for me?

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