Normal and infarcted apicoseptal region on CT and Sestamibi perfusion scan

Image A is a coronal reconstruction of a CT scan and shows a normal LV apex (arrowhead). An adenosine Sestamibi perfusion scan shows normal perfusion at rest (B) and after stress (C). Image D is a coronal reconstruction of a CT scan and shows thrombus in the apex of a dyskinetic LV. Image E shows a gated SPECT myocardial perfusion scan of the patient, with a basal to distal anteroseptal fixed defect at rest, with a large defect at the apex (arrowhead). The scan is not significantly changed with stress (F) (arrowhead).