CT volume rendering and curved ((a), (b)) of the anterior descending coronary artery did not show any stenotic lesions. SPECT images, in stress and rest acquisitions, and image fusion showed reduced uptake in the basal lower wall apex of left ventricle ((c), (d)). Coronary angiography showed no focal lesion of the coronary arteries (e). Thus, even if an hypoperfusion was present, it was caused by an artifact.