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Fig. 3 —Cardiac MDCT in 68-year-old man being evaluated for suspected coronary artery disease. Three-chamber view shows severe mitral annular calcification involving posterior commissure (curved arrow) impeding normal movement of posterior mitral leaflet, resulting in restricted mitral valve orifice (straight arrow). Note calcification also of aortic cusps. See Figure S3, cine CT, in supplemental data.