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Cardiac CT axial image without contrast media administration in a 72-year-old male after an extensive chronic myocardial infarction shows the presence of a curvilinear hypodense stripe (arrows) with negative attenuation values (−20 Hounsfield units), located within the subendocardial layer of the left ventricular apex extending also to the left ventricular lateral wall, findings related to a postischemic lipomatous metaplasia.
