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Figure 3 Patient Examples
A 59-year-old patient with no coronary disease demonstrated by X-ray evaluation. Coronary magnetic resonance imaging (MRI) (A), multislice computed tomography (MSCT) (D), and X-ray angiography (not shown) do not demonstrate coronary artery disease (A and D, black arrows). No focal enhancement was observed on noncontrast images (B), whereas moderate diffuse enhancement of the left main (LM), left anterior descending coronary artery (LAD), and left circumflex coronary artery (LCX) was found on postcontrast delayed-enhancement cardiovascular magnetic resonance (DE-CMR) images (arrows) (C). (H) A 59-year-old patient with MSCT, and X-ray (not shown) demonstrating evidence of disease in the proximal to mid-LCX. On MSCT, a mixed calcified/noncalcified LAD and a heavily calcified LCX plaque can be observed (black arrows; MSCT performed before intervention). Coronary MRI (E) is limited by the presence of stents in the proximal to mid-LCX, which resulted in local signal loss (single black arrow; MRI performed after intervention). On noncontrast DE-CMR (F), 2 hyperintense areas are visible just distal to the LCX stents (white dashed arrows); these hyperintense regions also are present on postcontrast DE-CMR (G, white dashed arrows). Diffuse contrast uptake is present in the entire LM and LAD (G, white arrows).
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