contractilidad hipokinesia segmentaria inferior y lateral baja hacia la punta

17:04 Dec 26, 2023 

Hi Chema, thanks for your input. That's exactly what I was trying to parse, i.e., whether it made sense to put an "or" or a "but" in between those ideas (I eventually copped out and stuck a semicolon in there!), but it's heartening to know that someone with your level of medical expertise also had to just guess in the end too. I'm mystified as to how a hospital can let someone with such poor communication skills write up a report like this—it was an absolute mess from start to finish!

I also want to thank everyone who contributed to this question, and apologise for disappearing until now. I don't know what's happening with the site notifications as I received no notifications of updates to this question until a couple of days ago when I was asked to rate the answers. I had initially checked back myself shortly after posting it and saw Gabriel's response, but I had no other notifications about the question.

00:43 Dec 22, 2023 

Hola, Robert.
Creo que lo que intenta expresar el original es que no se observa una disminución de la contractilidad aunque sí se objetive una hipoquinesia segmentaria inferior y lateral baja hacia la punta. Esto es, no se observa una disminución global de la contractilidad si bien sí se objetiva una hipoquinesia pero muy localizada.

"(...) no se observa disminución en contractilidad -[salvo por] hipokinesia segmentaria inferior y lateral baja hacia la punta-, (...)"

I am afraid I am just guessing though.