Hi,
The A returned after using dicomwrite tell about the metadata that is used to generate the dicom file. As you can see by running
whos V
it returns a (198 x 208 x 1 x 50) int16 matrix which is exactly what is required. Also, by running the dicomwrite command you can see 'la_2ch.dcm_Int16' file created in current working folder. The image that is converted to int16 is Z and not A which is mere metadata file.