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Fig. 8 —Cardiac MDCT in 68-year-old woman being evaluated for coronary artery disease. Multiplanar reformat three-chamber long-axis image in ventricular systole shows incomplete coaptation of mitral leaflets (straight arrow), consistent with mitral regurgitation. Left ventricle is dilated, and apex (curved arrow) is thin and partly calcified, consistent with chronic myocardial infarction in left anterior descending vascular territory. Appearances are consistent with ischemia-induced mitral annular dilatation.