ON THE COVER A 51-year-old male presented with an acute inferior ST-segment elevation myocardial infarction (MI). Primary percutaneous coronary intervention was performed on the occluded dominant right coronary artery with implantation of 2 bare-metal stents. Transthoracic echocardiography demonstrated mild left ventricular systolic dysfunction with severe hypokinesis to akinesis of the basal and mid inferior walls and accompanying right ventricular systolic dysfunction. There was a cleft in the basal inferior wall measuring 7 mm in depth raising suspicion of a tear in the endocardium (A). There was no evidence of a pericardial effusion. A steady-state free precession cardiovascular magnetic resonance (CMR) in the vertical long-axis confirmed the cleft in the basal inferior wall (B). A vertical long-axis phase sensitive reconstructed IR-TrueFISP image demonstrated subendocardial linear delayed enhancement in the basal inferior wall at the base of the cleft (C). The cleft in the basal inferior wall of our patient was likely secondary to an infarction, as confirmed by evidence of delayed enhancement on CMR, rather than a normal variant. The patient will be serially evaluated in the future with noninvasive imaging to guard against the possibility of delayed rupture that will necessitate emergent surgical attention. Images provided by Nader Elmayergi, MBBCh, FRCPC,* Ali Khadem, MD,* James W. Tam, MD, FRCPC* and Davinder S. Jassal, MD, FACC, FRCPC,*†‡ from the *Institute of Cardiovascular Sciences, St. Boniface Research Centre, †Section of Cardiology, Department of Cardiac Sciences, and the ‡Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada