Fig. 4
A–G images: 72-year-old male patient (BMI = 28), dyslipidemic, hypertensive and non-diabetic, and complaining of exertional dyspnea and palpitation. Echocardiography revealed good systolic function (EF = 58%), mild mitral incompetence with sclerotic aortic valve without obstruction, mild tricuspid incompetence and segmental wall motion abnormalities at rest in the form of basal inferior and posterior hypokinesia. A Two different views of 3D volume rendered images, and B Sagittal curved planar reformatted image showing patent LIMA to distal LAD and SVG to OM1 with good opacification of distal LAD and OM1 segments beyond the anastomotic sites, and diffusely diseased RCA with occluded proximal LAD segment. C Two axial curved planar reformatted images showing patent SVG to OM1 without focal stenosis with good filling of the OM artery beyond the anastomotic site, and occluded distal LM proximal LAD with soft plaque. D Two coronal curved planar reformatted images showing occluded distal LM proximal LAD with soft plaque, the distal LAD beyond the anastomotic site is patent and free of significant disease, and occluded distal LM proximal LCx with soft plaque. E Sagittal curved planar reformatted image showing diffusely disease atherosclerotic RCA with patent ostium and totally occluded proximal, mid- and distal segments by soft and mixed plaques. F 3D volume rendered image and G 2D axial multiplanar reformatted image showing epicardial fat volume (247 cm3)