Received December 27, 2007; accepted after revision April 7, 2008. 1Department of Radiology, University Hospital Birmingham NHS Foundation Trust, Metchley La., Birmingham, West Midlands, B67 5HR, United Kingdom. Address correspondence to B. J. Holloway (Ben.Holloway@uhb.nhs.uk). 2Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan, Ann Arbor, MI. AJR 2009;192:S49–S52 0361–803X/09/1923–S49 © American Roentgen Ray Society Case History A 50-year-old woman presents with nonspecific chest pain, a syncopal episode, and increasing dyspnea on exertion without edema, orthopnea, or paroxysmal nocturnal dyspnea. CT pulmonary angiography is performed to evaluate for pulmonary embolism. This is followed by cardiac MRI to further evaluate abnormal cardiac findings identified on CT pulmonary angiography. CT of the abdomen that was performed 7 months previously to investigate upper abdominal pain is also reviewed and found to include the area of abnormality.