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

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.