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Fig. 1B —50-year-old man with known coronary artery disease and two prior anterior myocardial infarctions who presents with worsening dyspnea. See also Figure S1, cine loop, in supplemental data online. Two-chamber views of left ventricle in diastole and systole using balanced steady-state free precession (b-SSFP) technique on 3-T MRI scanner show apical left ventricular adherent mass isointense to myocardium (arrow, A). Apex and anterior wall of left ventricle are dyskinetic and aneurysmal. Left ventricular cavity is markedly enlarged (left ventricle end-diastolic diameter, 71 mm), and its function is impaired (i.e., ejection fraction of 35%).