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Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: Relationship between epicardial fat volume measured by multi-detector computed tomography and coronary artery disease

Fig. 3

AF images: A 67-year-old male patient (BMI = 31.1), smoker, dyslipidemic, hypertensive and non-diabetic, and complaining of chest pain and exertional dyspnea. Echocardiography revealed good systolic function (EF = 63%), dilated aortic root 4 cm, trivial mitral valve incompetent and no regional wall motion abnormalities. A Two different views of 3D volume rendered images, B Sagittal maximum intensity projection image, and C Coronal curved planar reformatted image showing sizable elongated tortuous abnormal arterial channel arising from the right superolateral wall of the LAD midsegment opposite D3 takeoff, arising superiorly crossing over RVOT being closely adherent to anterior wall of MPA then turning posteriorly and inferiorly between MPA and aortic root appearing to be ending blindly, and also, ectatic LM and LAD proximal and mid-segments with calcified eccentric plaques seen at LM ostium without significant stenosis and eccentric calcified plaque at LAD mid-segment exerting mild stenosis 30%. D Two axial curved planar reformatted image showing ectatic LM and mildly atherosclerotic LCx and OM branches with mild cardiac motion artifact at LCx mid- and distal segments with no evidence of significant coronary artery disease, and patent minimally atherosclerotic RCA and PLB with no significant disease. E 3D volume rendered image and F 2D axial multiplanar reformatted image showing epicardial fat volume (175 cm3)

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