<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Respected doctor, My sister in law is 62 years and general medical specialist referred her to cardiologist for stress thalliumtestdebulleaine plus minusCA-RP. She is diabetic for the last 22 years. We consulted the cardiologist who after seeing the history and on going treatment first conducted TMT and then advised and carried out angiography, Angiography report is as underHTN, DMII, CA-DOE, TMT moderately positive210311 and CAG-Triple VesselDisease22,03.11Past History kco DMII 22 yrs on reglar Medicine ,HTN since 20 yrs on regular medicineNo H.o RHDBA.TB other chronicillnessangio graphy report as followsLmca normalLAD MID AND DISTA lad-SEVERE CALCIFICATION,LONG TUBULAR 70 PERCENT Stenosis Ds normalLCX Co Dominent VesselOMs-OMI-Diffused DiseasedRCA Dominent Vessel- Mid RCA 75 percent stenosis PLVPDA-NormalLV ANGIO NOT DONEFINAL DIAGNOSES CAD, Triple Vessel Disease DMII,TMT POSITIVE MODERATELYRECOMMENDATION Stress Thallium for Inducible Ischemia.Now we are advised to go in for Thallium Test. Kindly advise whether Thallium test only as recommended by medical specialist should have been carried out before Angiography or the cardiologist has used his discretion as we are laymen and did not know about thallium test . If thallium test was not available in cardiologists clinichospital why he did not refer us to another hospital where Nuclear Science test facility for Thallium test was available. ALso we shall be grateful for the correct advice at this stage to safeguard the interest of the patient ,.REGARDS  <response>: After having gone through the reports and the finding of triple vessel disease on coronary angiography, i dont think stress thallium would achieve anything much as far as diagnosis is concerned. It has probably been advised because TMT has come put to be moderately positive instead of being strongly positive which would be expected with the angiography findings. She mostly needs a coronary area by pass surgery CABG. 