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Fig. 2A —Cardiac MDCT in 48-year-old woman being evaluated for suspected coronary artery disease. See Figure S2C, cine CT, in supplemental data. Optimal image plane for normal mitral valve is three-chamber long-axis view. Image at 55% of R-R interval (diastolic phase) shows normal opening of anterior and posterior mitral leaflets (straight arrows) into left ventricle. Attachments to commissures are clearly depicted. Anterolateral and posteromedial papillary muscles (curved arrows) and chordae tendineae (arrowheads) can be clearly seen attached to leaflet tips. Aortic valve is closed as expected.