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Images for a patient with ESLD with normal SPECT MPI but a severe proximal LAD lesion on CCTA. The liver transplant team was notified and obtained a coronary angiogram with invasive FFR showing hemodynamic significant (0.71) proximal LAD lesion. FFRCT did not show hemodynamic significance; however, the patient did not receive sublingual nitroglycerin prior to the CCTA.
