Conversation: The conversation between human and AI assistant.
[|Human|] i recently had a normal ekg, normal stress w thaillum and a ct angio to r/o aortic dissection, i am still having chest discomfort, the cardiologist told me that women with large breast can shadow the images and possible something can be missed, i would like to rest easy that i have no cardiac disease except for my high cholesteriol and high blood pressure that i am currently taking medication for.
[|AI|]  Hellothanks for posting here. Since you have undergone a EKG, stress thallium, CT Anglo all of this collectively almost rule out a coronary heart disease. It's correct that breast may shadow CT images, but stress thallium is quite a sensitive test and that coupled with a normal ct Anglo increases the diagnosis rate. So as of now there is nothing to worry about from the heart side. Still if you are insecure you can undergo a catheter (conventional) angiogram, which is somewhat more invasive procedure. Alternatively try a short course of antacids for 14 days to rule out hyperacidity as a cause of your symptoms. Thank you