Fig. 4.

Example of concordant positive findings on CMR and CTA from a 46 year old female with no prior cardiovascular history presenting with intermediate pre-test probability for CAD and an equivocal nuclear SPECT study. The short axis cine CMR showed normal wall thickness (a), an anterior and anteroseptal stress induced perfusion defect (b, arrows) without evidence of myocardial infarction on late gadolinium enhancement imaging (c). The CTA showed an obstructive mixed calcified and non-calcified stenosis of the proximal left anterior descending (LAD) coronary artery (d, arrow). Invasive angiography confirmed a severe proximal stenosis of the LAD (e, arrow)