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65 years old male patient underwent to CCTA for ventricular extrasystole and chest pain. Images show proximal LAD soft plaque with spotty calcification (feature of higher risk of rupture) on multiplanar reconstruction (A, arrow), cross sectional view (B, arrow) and on H&E (C) which shows the fibrous cap containing scattered inflammatory cells (C, arrows) a necrotic core contains a large calcification (C, arrowhead). Dusty calcium deposits are scattered throughout the necrotic core.
