Figure 1
A 59 year-old male referred for exercise SPECT underwent the hybrid treadmill stress CMR-SPECT protocol. While SPECT (upper right color image) suggested a perfusion abnormality, cine and perfusion CMR clearly showed both wall motion and perfusion abnormalities present only on stress images (blue and yellow arrowheads, respectively), with viable myocardium by LGE (not shown). Invasive angiography (lower right) confirmed high-grade left coronary artery disease.