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Fig. 3A —51-year-old man with low calcium score (9.7) who nevertheless has lesion over left anterior descending coronary artery, which is almost totally occluded. Multiplanar reformatted image shows near-total occlusion over middle portion of left anterior descending coronary artery (white arrow). Note small calcified spot (black arrow), which was calculated as Agatston calcium score of only 9.7.