Fig. 2
A–H images: 54-year-old male patient (BMI = 30.8), smoker, non-hypertensive and non-diabetic; and complaining of chest pain. Echocardiography revealed good systolic function (EF = 67%), and no regional wall motion abnormalities. A Two different views of 3D volume rendered images showing normal origin of coronary arteries with right dominant circulation. B 3D volume rendered image and C Axial maximum intensity projection image showing LV mid-inferoseptal divertiruclum. D Axial noncontrast curved planar reformatted image showing calcium score (1) only at LCx. E Two axial curved planar reformatted images showing atherosclerotic LM and LAD, with soft eccentric plaque with positive remolding is seen at LAD proximal segment exerting moderate stenosis (50%, length = 14 mm) displaying napkin ring sign (vulnerable plaque), and atherosclerotic LCx, OM1 and OM2, with no significant disease. Also, LAD mid-segment has superficial intra-myocardial course for about 13.4 mm being covered with 2.3 mm myocardial tissue without luminal compression. F Coronal curved planar reformatted image showing atherosclerotic RCA and PDA. A soft ulcerated concentric plaque is seen at RCA distal segment exerting severe stenosis (80%, length = 15 mm). G 3D volume rendered image and (H) 2D axial multiplanar reformatted image showing epicardial fat volume (197 cm3)