The figure shows short-axis slices of myocardial perfusion at rest and stress with myocardial perfusion SPECT (MPS) and first-pass perfusion at rest and stress with cardiac magnetic resonance (CMR). The MPS and CMR perfusion tracers were injected in the MR scanner during the same adenosine stress session. This is an example of a patient with no stress induced ischemia with MPS. CMR, however, shows stress induced ischemia in the subendocardial portion of the lateral wall (white arrows). CMR late gadolinium enhancement (LGE) images show no signs or myocardial infarction.