Myocardial perfusion imaging and infarct characterization using multidetector cardiac computed tomography

Figure 3 Acute and chronic sequelae of myocardial infarction. A: A four-chamber view of a patient with acute chest pain and an occluded mid left descending coronary artery. A fresh, mobile, pedunculated thrombus is observed at the left ventricular apex (arrow); B: A two chamber view of a patient with recent onset heart failure and history of previous myocardial infarction. A left ventricle aneurysm is detected at the anterior wall, with significant wall thinning, pericardial effusion (arrows) and a fixed thrombus (*); C: An anterior wall chronic myocardial infarction, with significant wall thinning and lipomatous metaplasia (arrows).