What Does My Lab Test Report Indicate?

Brief Answer:
I would explain as follows:

Detailed Answer:

Hello dear XXXXXXX

I carefully reviewed your uploaded report and would like to explain as follows:

- chest CT without contrast has revealed 2 points to consider:

(a) Calcium fleck localized in LAD (left anterior descending) artery which h raises strong suspicions about a possible coronary lesion, facing also your chest pain symptomatology.

(b) A small right renal stone, which I personally don't believe to be the source of your chest pain (as it is stationary inside the renal pelvis) and couldn't cause irritation of the urinary tract). Probably it may give rise of any heavy pain in the lumbar region, but rarely a chest pain localized in the anterior chest wall.

Coming to this point, I would like to know any additional characteristics of your chest pain:

- It is a sharp, migrating pain? Or a dull not well localized one?
- What about its time duration?
- Does the pain appear during physical exertion or at rest?
- Is the pain modulated by posture changes? Or breathing phases?
- Do you have experienced any unpleasant feeling with urination: burning or very frequent urinations? any recent color urine change?

Regarding that coronary artery calcification, I would explain that it is necessary additional diagnostic work up to conclude whether an important coronary lesion is present, especially if you have coronary risk factors (like hypertension, diabetes or a glucose metabolism disorder, dyslipidemia, are a cigarette smoker, or have a clear heredity for coronary artery disease [CAD]).

The following tests are recommended:

- a resting ECG,
- cardiac ultrasound,
- an exercise cardiac stress test

If the above do not confirm a strong conclusion of the presence or absence of CAD, it is necessary to proceed to further diagnostic investigation.

One of the following cardiac tests are advisable:

- cardiac stress ECHO,
- coronary angio CT,
- nuclear perfusional cardiac stress test (CARDIOLITE)

which would definitely conclude about any cardiac ischemia presence.


In case cardiac ischemia is confirmed, coronary angiography would be the final test of choice.


You need to discuss with your attending physician (cardiologist or internist) on the above mentioned issues.

Hope to have been helpful to you!

In case of further uncertainties, please do not hesitate to ask me again.

Kind regards,

Dr. Iliri

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