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. 2013 Jan 3;6:2. doi: 10.1186/1756-0500-6-2

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Copyright ©2013 Sidhu et al.; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A 56-year-old male with hyperlipidemia presented with atypical chest pain. Cardiac MRI demonstrated scar (abnormal delayed enhancement--red arrows) in the entire inferior wall of the left ventricle as seen in two-chamber view (Panel A). CTA was performed to assess for previously unsuspected coronary disease; delayed images were performed confirming the same inferior wall delayed enhancement as seen in the two chamber and short-axis views (Panels B &C). The same patient underwent stress and rest Technitium-99m-Sestamibi SPECT- MPI (short axis images obtained at stress-Panel D and rest-Panel E), which corroborated the fixed defect in the inferior wall.